Individual
MICHAEL S COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE, SUITE 120, PORTLAND, OR 97210-2900
(503) 229-7353
(503) 229-7255
Mailing address
1130 NW 22ND AVE, SUITE 120, PORTLAND, OR 97210-2900
(503) 229-7353
(503) 229-7255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD12861
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226977
—
OR
Enumeration date
07/06/2006
Last updated
07/08/2007
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