Provider Demographics
NPI:1619049616
Name:COLQUHOUN, JAMES CS (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:CS
Last Name:COLQUHOUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 S CUSTER RD
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-1628
Mailing Address - Country:US
Mailing Address - Phone:509-448-2278
Mailing Address - Fax:
Practice Address - Street 1:5515 S CUSTER RD
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-1628
Practice Address - Country:US
Practice Address - Phone:509-448-2278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA14620208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7835002Medicaid
WA8867143Medicare PIN