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Individual

CHRISTINA H COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
QMHA-I

Contact information

Practice address
620 NE 2ND ST, GRESHAM, OR 97030-7514
(971) 274-3757
(503) 912-5740
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
19-QMHA-I-01359
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500761240
OR
Enumeration date
04/04/2019
Last updated
07/30/2021
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