Mcdonough, Colin M
Mcdonough, Colin M is an individual health care provider with primary practice located at 1899 Blankenship Rd , West Linn OR 97068-4118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mcdonough, Colin M can be contacted via phone (503) 513-3350.Contact Information
Primary practice address
1899 Blankenship Rd
West Linn OR 97068-4118
Phone: (503) 513-3350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD17459 | Oregon |
Profile Details
| NPI number | 1063507788 |
|---|---|
| LBN Legal business name | Mcdonough, Colin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Feb 5th, 2013 - about 12 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 | 1063507788 | NPPES |
| Oregon | Other | P00824683 | RR MEDICARE - PH&S |
| Oregon | MEDICAID | 037767 | RR MEDICARE - PH&S |
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