Individual provider Active NPI

Cynthia Woodson Colven, MD

  • Family Medicine Physician
  • Vancouver, WA
National Provider Identifier
1104883552
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00032812 Issued in WA
Practice address
1404 NE 134TH St
#170
Vancouver, WA 98685-2799
Phone
(360) 573-1381
Fax
(360) 573-1384
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00032812 WA Primary

Addresses

Primary practice location

1404 NE 134TH St
#170
Vancouver, WA 98685-2799

Mailing address

1404 NE 134TH St
#170
Vancouver, WA 98685-2799
Phone (360) 573-1381

Other identifiers 1

IdentifierTypeStateIssuer
1122076MedicaidWA

Other names 1

  • Cynthia Anne Woodson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040524001040 WA Practitioner - Family Practice 1557352267 Reassigns benefits to 2 organizations
I20190927002954 OR Practitioner - Family Practice 1557352267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaiser Foundation Health Plan of the NorthwestGroup PAC ID 5799688230, 1,805 clinicians

Practice addresses (Care Compare)

14406 NE 20TH Ave
Vancouver, WA 98686-1448
Phone (800) 813-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Dec 29, 2015 Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Dec 29, 2015 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Aug 30, 2016 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Aug 30, 2016 Accepting new patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Fishers Landing Urgent & Family Care Past Accepting new patients
Fishers Landing Urgent and Family Care Past Accepting new patients
Cedar Family Medicine, Incorporated Family Medicine PastSince Mar 1, 2004 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7410 Delaware Ln
Vancouver, WA 98664
Phone (360) 566-4402

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

2211 E Mill Plain Blvd
Vancouver, WA 98661
Phone (360) 418-6001

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1104883552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST",
            "address_2": "#170",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-573-1381",
            "fax_number": "360-573-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST",
            "address_2": "#170",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-573-1381",
            "fax_number": "360-573-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVEN",
        "first_name": "CYNTHIA",
        "middle_name": "WOODSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1122076",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WOODSON",
            "middle_name": "ANNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.