Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD193566 | OR |
N | 111NI0900X | Internist | MD193566 | OR |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD193566 | OR |
N | 207RC0000X | Internist - Cardiovascular Disease | MD193566 | OR |
NPI | 1447518923 |
---|---|
Provider Name | Dr. Nalini Anne Colaco |
First Address | Portland, OR 97239-3098 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2012 |
Last Update Date | 21/08/2019 |