Individual
BECKY A. COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1160 W ELM AVE, HERMISTON, OR 97838
(541) 567-6623
(541) 564-0277
Mailing address
1160 W ELM AVE, HERMISTON, OR 97838
(541) 567-6623
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1154
WA
152W00000X
Optometrist
Primary
1339ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236000
—
OR
Enumeration date
03/27/2007
Last updated
04/05/2011
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