Look up the most recent NPI and PECOS records

Elizabeth Kathleen Collumb

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as ELIZABETH COLLUMB.

Based on the most recent information from CMS, provider Elizabeth Kathleen Collumb is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1689625956
Provider Type
Individual
Full Name
Collumb, Elizabeth Kathleen
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/12/2006
Last Updated
5/7/2024

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-6176

(503) 494-6155

Mailing Location

1400 SW 5th Ave Ste 500, Portland, OR 97201-5537

(866) 617-6855

(503) 346-8015

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD218957 Oregon
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MDA74785 California
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License 0101263793 Virginia

Elizabeth Kathleen Collumb

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Masolak, David Damian

Bonney, Paul Matthew

Boverman, Joshua Findley

Weathers, Eric

Stoner, Andrew David

Rodriguez, Mikaela Lea

Kinzie, John Mark

Fatima, Zainab

Bloom, Joseph David

Sack, Robert Leroy