Individual
KRIS COLLETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 MAIN ST, VANCOUVER, WA 98663-2223
(360) 696-5232
(360) 696-5228
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD00039202
WA
207R00000X
Internal Medicine Physician
Primary
MD00039202
WA
208000000X
Pediatrics Physician
BC5836032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8269276
—
WA
Enumeration date
01/16/2007
Last updated
03/15/2023
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