Individual
ERIC COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1005 SE LAMBERT ST, PORTLAND, OR 97202-6377
(503) 235-4965
Mailing address
1005 SE LAMBERT ST, PORTLAND, OR 97202-6377
(503) 235-4965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1776
OR
111N00000X
Chiropractor
271776
OR
Other
Enumeration date
10/28/2005
Last updated
09/25/2009
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