Individual
MS. MARY L COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
2211 E MILL PLAIN BLVD, VANCOUVER, WA 98661-4329
(360) 418-6001
Mailing address
2701 NW VAUGHN ST, SUITE 140, PORTLAND, OR 97210-5311
(503) 499-5200
(503) 499-5213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10839
OR
235Z00000X
Speech-Language Pathologist
Primary
LL00003022
WA
Other
Enumeration date
08/31/2006
Last updated
07/15/2007
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