MEDICARE: DR. COLIN JOHN MCCLUNEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35.129333	OH
2	207Q00000X	Family Medicine Physician	ML60370962	WA
3	207Q00000X	Family Medicine Physician	MD60572144	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992141139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLIN JOHN MCCLUNEY M.D.

Provider Business Mailing Address
First Line	:	955 POWELL AVE SW
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-2908
Country	:	US
Telephone Number	:	425-277-1311
Fax Number	:	425-277-1566

Provider Business Practice Location Address
First Line	:	26401 PACIFIC HWY S STE 101
Second Line	:
City	:	DES MOINES
State	:	WA
Zip	:	98198-9247
Country	:	US
Telephone Number	:	206-870-3590
Fax Number	:	206-824-1670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	03/03/2026

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