Sharon Colley

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2034 NE Sandy Blvd
Portland, OR 97232-3199

Phone

(503) 597-3958

NPI assigned

Aug 3, 2011

Last updated

Aug 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1114205416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323199",
            "telephone_number": "503-597-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 NE SANDY BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323199",
            "telephone_number": "503-597-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "SHARON",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-03",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Lynne Colleknon, MSCN
• Benjamin Colley
• Brandin Colley, CRM
• Colleen Anne Colley, PHARM.D.
• Dan Colley, PHARM.D.
• Hayden Leine Collier, M.S.
• Heidi L Colligan, MA
• Kevin Colling, DC
• Sue Ellen Collins-Larson, M.A., LPC
• Adam Bradley Collins, MD

• Community Health Worker in Portland, OR
• Providers in Portland, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.