Andersen, Colene I
Andersen, Colene I is an individual health care provider with primary practice located at 18010 Mcewan Rd , Lake Oswego OR 97035-7868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Andersen, Colene I can be contacted via phone (503) 525-7500.Contact Information
Primary practice address
18010 Mcewan Rd
Lake Oswego OR 97035-7868
Phone: (503) 525-7500
Fax: (503) 525-7515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD156005 | Oregon |
Profile Details
| NPI number | 1710932421 |
|---|---|
| LBN Legal business name | Andersen, Colene I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710932421 | NPPES |
| Oregon | MEDICAID | 500662879 |
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