COLIN M MCDONOUGH (M.D) – Internal Medicine Physician, NPI 1063507788

Internal Medicine Physician

COLIN M MCDONOUGH (M.D) is a healthcare provider. based in Portland, Oregon. specializing in Internal Medicine Physician. They hold the professional credentials M.D. They hold a License No. MD17459 (OR). The NPI Number for COLIN M MCDONOUGH (M.D) is 1063507788

Main info

Male

38 Years Of Experience

Accepts Medicare Assignment

Name

COLIN M MCDONOUGH (M.D)

NPI

1063507788

Phone

Not provided

Address

PO BOX 3158

Enumeration Date

4 October 2006

Last Update Date

5 February 2013

Doctor Profile

Medical School Name

UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO

Secondary Phone

5036927785

Graduation Year

1988 (38 years ago)

PAC ID

4789712100

Group Practice PAC ID

5092609842

Professional Enrollment ID

I20100505000966

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for COLIN M MCDONOUGH (M.D)

3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone:
Type: Mailing
Lux Tan, 1899, Blankenship Road, Willamette, West Linn, Clackamas County, Oregon, 97068, United States
WEST LINN, OR 970684118
Phone: (503) 513-3350
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 5092609842View full group profile

Name	Specialty	State
KELLY FAITH SCOTT (MD)	-	OR
DR. RYCHEL RAE COR (PSYD)	-	OR
ALIA KATHERINE PAQUETTE (D.O.)	-	OR
ELIZABETH ANNE REDING (D.O.)	-	OR
DR. JOSH GEPNER (MD)	Family Practice	OR
Unknown Individual	-	OR
LAURA ELIZABETH ANISSIAN (MD)	-	LA
JANEL N GUYETTE (M.D.)	Family Practice	OR
MICHAEL ZIMMERMAN (MD)	-	OR
KAROLINE WOITKE (PA-C)	-	OR

Reviews

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Frequently asked questions

What is the registry number for COLIN M MCDONOUGH (M.D)?

The registry entry for COLIN M MCDONOUGH (M.D) shows NPI 1063507788.

Should I treat COLIN M MCDONOUGH (M.D) as an active provider?

Patients and plans typically see COLIN M MCDONOUGH (M.D) as active in the national extract.

What type of care does COLIN M MCDONOUGH (M.D) provide?

COLIN M MCDONOUGH (M.D)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

What city is tied to COLIN M MCDONOUGH (M.D)?

The directory associates COLIN M MCDONOUGH (M.D) with Portland, Oregon. Check all listed addresses for suites or satellite offices.

Why is information missing for COLIN M MCDONOUGH (M.D)?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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