Fred Kent Coler, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19896 Issued in OR

Practice address

921 SW Washington
Suite 812
Portland, OR 97205-2826

Phone

(503) 279-9004

Fax

(503) 916-8181

NPI assigned

Apr 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bethany Rowland Pmhnp

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1689950586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972625044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON",
            "address_2": "SUITE 812",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052826",
            "telephone_number": "503-279-9004",
            "fax_number": "503-916-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON",
            "address_2": "SUITE 812",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052826",
            "telephone_number": "503-279-9004",
            "fax_number": "503-916-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLER",
        "first_name": "FRED",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "19896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150050",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi M Coleman, M.D.
• Luke Cameron Coleman, LMT
• Natasha L.D. Coleman, CERTIFIED DOULA
• Robert Isaac Coleman Jr.
• Trisha May Coleman
• Vivian Coles, LPC
• Cecilia Colesanti
• Jennifer Y Colet Castaneda, LPN
• Mary Coletti, MA
• Joseph J. Coletto, N.D., L.AC.

• Psychiatry Physician in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.