Individual
MICHAEL THOMAS COLLINS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11153
OR
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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