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MS. COLLEEN D PHILLIPS PA-C
NPI 1245308618
Physician Assistant - Surgical in Portland, OR

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment
12400 NW CORNELL RD STE 200, PORTLAND, OR 97229(503) 646-0101(503) 350-1420 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Colleen D Phillips Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. COLLEEN D PHILLIPS PA-C (NPI 1245308618) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA00406) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1245308618
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. COLLEEN D PHILLIPSCredential: PA-C
Location Address12400 NW CORNELL RD STE 200Portland, OR 97229-5689
Mailing Address9850 Nw Justus LnPortland, OR 97229-8551 · (503) 297-5155
Phone(503) 646-0101
Fax(503) 350-1420
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245308618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in OR · PA00406
12400 NW CORNELL RD STE 200, Portland, OR 97229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Colleen D Phillips Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800994765
PECOS Enrollment IDI20070531000413
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN ZDOR DPT
Physical Therapist
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 643-1737
THE WALDORF CENTER FOR PLASTIC SURGERY
Clinic/Center (Health Service)
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 646-0101
DR. ERICA C DELGADO MD
Internal Medicine
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 352-0211
CORNELL FAMILY MEDICINE
Clinic/Center (Primary Care)
12400 NW CORNELL RD STE 200
PORTLAND, OR 97229
Washington County (503) 352-0211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Phillips's NPI number?

The NPI number for Colleen Phillips is 1245308618. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Colleen Phillips located?

Colleen Phillips practices at 12400 NW Cornell Rd Ste 200, Portland, OR 97229. The listed phone number is (503) 646-0101.

What is Colleen Phillips's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Colleen Phillips enrolled in Medicare?

Yes. Colleen Phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Colleen Phillips accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Colleen Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Colleen Phillips affiliated with any hospitals?

According to CMS data, Colleen Phillips is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Colleen Phillips was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.