Individual
KIRSTEN G COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2905 RIVER RD S, SALEM, OR 97302-9754
(503) 602-0545
Mailing address
1990 SE GORDON CT, DALLAS, OR 97338-2703
(503) 602-0545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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