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LEON QUINTON COLBURN PA NPI 1578565339


NPI Information

NPI: 1578565339
Provider Name: LEON QUINTON COLBURN, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
10000 SE MAIN ST
SUITE 365
PORTLAND, OR
ZIP 97216
Phone: (503) 261-4430
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Leon Quinton Colburn, PA is a physician assistant in Portland, OR. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Leon Quinton Colburn, PA NPI is 1578565339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10000 SE MAIN ST
SUITE 365
PORTLAND, OR
ZIP 97216-448
Phone: (503) 261-4430
Fax: (503) 261-4436

The enumeration date for this NPI number is 8/11/2005 and was last updated on 10/3/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA00171OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S22758MEDICARE UPINOREGON
2116064MEDICARE ID-TYPE UNSPECIFIEDOREGONPORTLAND
3116161MEDICARE ID-TYPE UNSPECIFIEDOREGONSALEM
4500602877MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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