Individual
MR. JOHN WILLIAM COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
548 SE JACKSON ST, ROSEBURG, OR 97470-4983
(541) 672-2691
Mailing address
548 SE JACKSON ST, ADAPT, ROSEBURG, OR 97470-4983
(541) 672-2691
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
046676
GA
2084P0800X
Psychiatry Physician
Primary
MD176230
OR
Other
Enumeration date
07/19/2006
Last updated
05/11/2016
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