Individual
DR. RYAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2300 LANCASTER DR NE, NORTH LANCASTER DENTAL OFFICE, SALEM, OR 97305-1223
(503) 370-4843
(503) 375-5737
Mailing address
5906 SE TAYLOR ST, PORTLAND, OR 97215-2746
(503) 507-0530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8851
OR
Other
Enumeration date
11/07/2006
Last updated
03/16/2010
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