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Pacific Coast Healthcare Education LLC

Registered Nurse in Portland, OR. Organization (NPI-2).

NPI number1104732064
StatusActive
Last updated in NPPESAug 20, 2026

Details

NPI
1104732064
Entity type
Organization (NPI-2)
Legal business name
Pacific Coast Healthcare Education LLC
Organization subpart
No
Enumeration date
Aug 20, 2026
Certification date
Aug 20, 2026
Last updated
Aug 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse––Yes
163WC1500X Registered Nurse, Community Health––
163WC1600X Registered Nurse, Continuing Education/Staff Development––

Practice location

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Phone 541-891-4238

Mailing address

Po Box 458
Brookings, OR 97415-0041

Phone 541-891-4238

Authorized official

Janel Shaull
Registered Nurse/Owner
5418914238

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