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Individual

MRS. CHRISTIANN MICHELLE COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
5211 NE GLISAN ST BLDG C, PORTLAND, OR 97213-3052
(503) 215-6628
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI00001998
WA
133V00000X
Registered Dietitian
Primary
LD-D-10182758
OR
163WD0400X
Diabetes Educator Registered Nurse
LD-D-10182758
OR

Other

Enumeration date
08/22/2007
Last updated
02/19/2021
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