COLLEEN CATHERINE MCCORMICK


Address: 1130 Nw 22nd Ave Ste 110, Portland, OR 97210-2934
Phone: 5034138654

COLLEEN CATHERINE MCCORMICK (NPI# 1740362052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740362052
Entity Type Individual
Full Name COLLEEN CATHERINE MCCORMICK
Credential M.D.
Practice Address 1130 Nw 22nd Ave Ste 110
Portland
OR 97210-2934
Mailing Address Po Box 3777
Portland
OR 97208-3777
Practice Telephone 5034138654
Practice Fax Number 5034138655
Mailing Telephone 5034133900
Mailing Fax Number 5034133710
Enumeration Date 2006-10-19
Last Update Date 2016-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
MD29172 OR Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 2001733 05
OR 500607350 05

Other Providers COLLEEN MCCORMICK

NPI Name Taxonomy Address Enumeration
1407831944 Colleen A. Mccormick Nurse Anesthetist, Certified Registered 216 Logan Ln, Crna - Medical Doctor Associates, Mahopac, NY 10541-3650 2005-12-07
1851879456 Colleen Mccormick Behavior Technician 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 2018-08-06
1154807139 Colleen Ann Mccormick Behavioral Analyst 8801 Folsom Blvd, Sacramento, CA 95826-3257 2018-07-13

Office Location

Street Address 1130 NW 22ND AVE STE 110
City PORTLAND
State OR
Zip Code 97210-2934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720466287 Arielle Elyse Radelet Physician Assistant 1130 Nw 22nd Ave Ste 110, Portland, OR 97210 2015-05-15
1215322862 Emily Edwards Obstetrics & Gynecology 1130 Nw 22nd Ave Ste 110, Portland, OR 97210-2934 2015-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
Find all providers in zip 97210

Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164592382 Jana Marie Reddoch Obstetrics & Gynecology 9155 Sw Barnes Rd Suite 416, Portland, OR 97225 2006-11-08
1861781767 Cassandra Michelle Niemi Obstetrics & Gynecology 9555 Sw Barnes Rd Ste 150, Portland, OR 97225-6691 2011-03-31
1730322702 Weiya Wysham Obstetrics & Gynecology 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 2009-04-07
1598927261 Gina Louise Westhoff Obstetrics & Gynecology 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 2008-06-25
1770598278 Tanja Branko Pejovic Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, L466, Portland, OR 97239-3011 2006-07-31
1508838897 Elizabeth Grace Munro Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2006-02-02
1295716496 William Edward Winter IIi Obstetrics & Gynecology 265 N Broadway St, Portland, OR 97227-1800 2005-11-07
1811990484 Paul Chien-chung Tseng Obstetrics & Gynecology 265 N Broadway St, Portland, OR 97227-1800 2005-05-27
1780687566 Lisa Louise Mccluskey Obstetrics & Gynecology 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 2005-05-24
1629071592 Jim Alan Gosewehr Obstetrics & Gynecology 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 2005-05-24
Find all providers in PORTLAND

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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