NPIMap

Colleen Amanda Finnegan, M.D.

Individual provider Active NPI Internal Medicine Physician · Lake Oswego, OR

NPI 1104909936 · NPPES record last updated Oct 5, 2020

Key facts

NPI
1104909936
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
MD23268 (OR)
Practice address
4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035
Phone
(503) 216-1500
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 17

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.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services Oregon (1,423 clinicians)

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

4400 NE Halsey St
Portland, OR 97213-1545

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050908000622 OR Practitioner - Internal Medicine 0840222014 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD23268ORMDAllergy & Immunology (Internal Medicine) Physician
MD00045453WAMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current
since Apr 1, 2023		 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine Current Accepting new patients
Providence Health & Services - Oregon Current
since Apr 1, 2023		 Accepting new patients
Providence Health & Services Oregon Current
since Apr 1, 2023		 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon Current
since Apr 1, 2023		 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current
since May 20, 2013		 Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest Current
since May 20, 2013		 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current Accepting new patients
Providence Health & Services - Oregon Internal Medicine Current
since Apr 1, 2019		 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients

Locations

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

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

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500

5555 NE Elam Young Pkwy
Hillsboro, OR 97124
Phone (503) 216-1600

4004 Kruse Way Pl
Ste 300
Lake Oswego, OR 97035
Phone (503) 216-1500

2400 E Douglas Ave
Bldg K
Newberg, OR 97132
Phone (971) 231-5855

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

3550 N Interstate Ave
Ofc E
Portland, OR 97227
Phone (503) 249-5536

9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

3550 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

9205 SW Barnes Rd
Ste 2800
Portland, OR 97225
Phone (503) 216-2621

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

5330 NE Glisan St
Ste 100
Portland, OR 97213
Phone (503) 215-9700

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

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

725 S Wahanna Rd
Seaside, OR 97138
Phone (503) 717-7000

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

12442 SW Scholls Ferry Rd
Ste 100
Tigard, OR 97223
Phone (503) 215-9900

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

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

Interoperability endpoints

  • Direct secure messaging: cfinnegan101763@oc.providencedirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD23268 OR
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD00045453 WA
Internal Medicine Physician 207R00000X MD23268 OR Yes

Addresses

Primary practice location

4004 Kruse Way PL Ste 300
Lake Oswego, OR 97035

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

3550 N Interstate Avenue
Interstate Medical Office East
Portland, OR 97227-1043
Phone (503) 249-5536

Other practice location 2

3550 N Interstate Avenue
Interstate Medical Office East
Portland, OR 97227-1043
Phone (503) 249-5536

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address cfinnegan101763@oc.providencedirect.org

Other providers in Lake Oswego, OR

All providers in Lake Oswego, OR · Internal Medicine Physician in Oregon

Sources for this page

Verify at the official NPI Registry.