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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLLEEN ANASTASIA O'SULLIVAN, PA

Active

COLLEEN ANASTASIA O'SULLIVAN, PA is a Physician Assistant healthcare provider located in REDMOND, Oregon. NPI 1427051713 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · REDMOND, OR

Registration Details

NPI Number
1427051713
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2005 (21.174124646406 yrs)
Last Updated
Dec 26, 2014
Licenses
PA20422 (CA)
169425 (OR)

Practice Information

Address
1253 NW CANAL BLVD
REDMOND, OR, 97708
Browse OR providers · Browse ZIP 97708
Phone
5415488131
Fax
5414604028
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in REDMOND, OR

Name Credential NPI
TIMOTHY KRIGBAUM PA-C 1831149079
ERIN P BUTLER PA C 1528077930
AMBER F ELKIND PA-C 1336446756
AMANDA FAIR PA-C 1619262060
JASON J HANBY PA 1659623494
MRS. KELSEY ROSE PETERSON PA-C 1902144983
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.