Active NPIIndividual provider

Colin P Boehnlein, MD

Family Medicine in Beaverton, Oregon

NPI Number1457055436
Practice location
4855 SW Western Ave, Beaverton, OR 97005-3460
Fax
503-626-4418
Last updated
September 10, 2026

Colin P Boehnlein, MD is a Family Medicine based in Beaverton, OR. Colin P Boehnlein, MD holds the professional credentials of MD. The NPI number for Colin P Boehnlein, MD is 1457055436 and holds license No. MD232415 (OR). The current practice location address is 4855 SW Western Ave, Beaverton, OR 97005-3460 and the office can be reached by phone at 503-643-7565 and by fax at 503-626-4418. The NPI was assigned on March 27, 2023 and the record was last updated in NPPES on September 10, 2026.

●Provider Profile Details

NPI Number
1457055436
Provider Name
Colin Patrick Boehnlein
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Enumeration Date
March 27, 2023
Last Update Date
September 10, 2026
Certification Date
September 10, 2026
NPI Status
Active

◉Business Practice Location Address

Address
4855 SW Western Ave
Beaverton, OR 97005-3460
State
Oregon
ZIP
97005-3460
Country
US
Phone Number
503-643-7565
Fax Number
503-626-4418

Get directions →

✉Business Mailing Address

Address
4855 SW Western Ave
Beaverton, OR 97005-3460
City
Beaverton
State
OR
ZIP
97005-3460
Phone Number
503-643-7565
Fax Number
503-626-4418

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Family Medicine207Q00000XYesMD232415OR
Family Medicine207Q00000XNoMD.MD.70163144WA

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Colin P Boehnlein, MD?

The NPI number of Colin P Boehnlein, MD is 1457055436. It was assigned on March 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Colin P Boehnlein, MD?

Colin P Boehnlein, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X) and holds license No. MD232415 (OR).

Where does Colin P Boehnlein, MD practice?

The practice location is 4855 SW Western Ave, Beaverton, OR 97005-3460. The office can be reached at 503-643-7565 (phone) or 503-626-4418 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457055436 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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