Individual
MRS. JENNIFER NICOLE COLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT 16076
Contact information
Practice address
730 SE OAK ST STE K, HILLSBORO, OR 97123-4245
(503) 430-1057
(503) 430-1085
Mailing address
730 SE OAK ST STE K, HILLSBORO, OR 97123-4245
(503) 430-1057
(503) 430-1085
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
LMT 16076
OR
Other
Enumeration date
09/21/2011
Last updated
01/30/2014
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