Individual
KEITH GREGORY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5400 MACARTHUR BLVD, VANCOUVER, WA 98661-7049
(360) 759-1500
Mailing address
3914 S CIR, WASHOUGAL, WA 98671-9165
(360) 606-2665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60644670
WA
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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