Wellformed AI

NPI 1710932421 · live from the CMS NPI Registry

Colene I Andersen, MD

Internal Medicine in Lake Oswego, OR. National Provider Identifier 1710932421, active.

NPI record

NPI1710932421 Type 1 · individual
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location18010 Mcewan Rd, Lake Oswego, OR 97035
Practice phone503-525-7500
Mailing addressPo Box 3777, Portland, OR 97208
EnumeratedMay 23, 2006
Last updatedJuly 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine primary207R00000XMD156005 (OR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.