Individual
COLLIN HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7511 N BERKELEY AVE APT 7, PORTLAND, OR 97203-6095
(281) 678-1275
Mailing address
7511 N BERKELEY AVE APT 7, PORTLAND, OR 97203-6095
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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