Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colleen Anastasia O'Sullivan, PA

Individual provider Physician Assistant · NPI 1427051713

Colleen Anastasia O'Sullivan, PA is a Physician Assistant in Redmond, Oregon. Qualified in 2001, 25 years ago. Practices with Bend Memorial Clinic PC, a 226-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
25
Licensed in
CA, OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1253 NW Canal Blvd
Redmond, OR 97708
Phone: (541) 548-8131
Fax: (541) 460-4028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 169425 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA20422 (CA)

Record details

NPI number1427051713
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESDecember 26, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Bend Memorial Clinic Pc — 226 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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