Individual
CHASE MICHAEL COLLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
960 N 16TH ST STE 303, SPRINGFIELD, OR 97477
(541) 744-6172
Mailing address
960 N 16TH ST STE 303, SPRINGFIELD, OR 97477-4175
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA192577
OR
Other
Enumeration date
09/16/2019
Last updated
10/22/2019
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