Individual
COLLETTE ALISHA ZACARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1830 SW FAIRVIEW AVE, DALLAS, OR 97338-2338
(541) 254-4450
Mailing address
1830 SW FAIRVIEW AVE, DALLAS, OR 97338-2338
(541) 254-4450
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
202009648RN
OR
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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