Individual
JESSICA CHRISTINA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 967-6580
Mailing address
1305 HILL ST SE, ALBANY, OR 97322-6711
(541) 967-6580
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LV101SOP
—
OR
Enumeration date
10/03/2022
Last updated
10/03/2022
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