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Individual

COLLINS OTIENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11410 NE 122ND WAY STE 100, KIRKLAND, WA 98034-6927
(425) 650-4005
Mailing address
5002 LAKE AVE S, RENTON, WA 98055-7947
(425) 650-4005

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61459751
WA

Other

Enumeration date
04/11/2026
Last updated
04/11/2026
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