Individual
DAVID COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 SE JEFFERSON ST, SHERIDAN, OR 97378-1924
(503) 843-4909
Mailing address
222 SE JEFFERSON ST, SHERIDAN, OR 97378-1924
(503) 843-4909
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20803
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105908
—
OR
Enumeration date
06/08/2006
Last updated
01/20/2011
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