Individual provider Active NPI

Galena K Kolchugina, M.D.

  • Pediatrics Physician
  • Corvallis, OR
National Provider Identifier
1588915896
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD186849 Issued in OR
Practice address
330 NW Elks Dr
Corvallis, OR 97330-3779
Phone
(541) 768-4900
NPI assigned
Sep 26, 2012
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD186849 OR
Family Medicine Physician 207Q00000X MD60558904 WA
Pediatrics Physician 208000000X MD186849 OR Primary

Addresses

Primary practice location

330 NW Elks Dr
Corvallis, OR 97330-3779

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice location 1

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150 ext. 2025

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gkolchugina303056@samhealth.direct-ci.com

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
I20150806011838 WA Practitioner - Family PracticePractitioner - Pediatric Medicine 1355655101 Reassigns benefits to 1 organization
I20180717001537 OR Practitioner - Pediatric Medicine 1355655101 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60558904WAMDFamily Medicine Physician
MD186849ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Corvallis Pediatrics CurrentSince Jun 29, 2025 Accepting new patients
Healthpoint Family Medicine CurrentSince Jul 27, 2015 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Feb 1, 2025 Accepting new patients
Good Samaritan Hospital Corvallis CurrentSince Feb 1, 2025 Accepting new patients
Healthpoint CurrentSince Jul 27, 2015 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Good Samaritan Hospital Corvallis Current Accepting new patients

Locations

330 NW Elks Dr
Corvallis, OR 97330
Phone (541) 768-4900

3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261

444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

26401 Pacific Hwy S
Ste 101
Des Moines, WA 98198
Phone (206) 870-3590

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1588915896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NW ELKS DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303779",
            "telephone_number": "541-768-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3680 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303737",
            "country_code": "US",
            "telephone_number": "541-754-1150 x2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLCHUGINA",
        "first_name": "GALENA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD186849",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60558904",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD186849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkolchugina303056@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "330 NW Elks Dr",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.