Individual
MR. COLLIN RICHARD ELSEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-7444
(503) 494-4350
Mailing address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 435-4514
(503) 472-8691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201700867CRNA
OR
Other
Enumeration date
09/11/2014
Last updated
02/17/2017
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