Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 263212 | MA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 60814 | TN |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MD206621 | OR |
NPI | 1427307644 |
---|---|
Provider Name | Catherine Alessandra Colaianni |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-4501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2012 |
Last Update Date | 20/08/2021 |