Individual
STEPHANIE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA IN PSYCHOLOGY
Contact information
Practice address
4101 NE DIVISION ST, # 100, GRESHAM, OR 97030-4617
(503) 666-3808
(503) 666-6835
Mailing address
119 COWING ST, SILVERTON, OR 97381-2317
(503) 666-3808
(503) 666-6835
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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