Collins, Kelly

Collins, Kelly is an individual health care provider with primary practice located at 3303 S Bond Ave # Ch8N , Portland OR 97239-4501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as her primary health care specialty. Collins, Kelly can be contacted via phone (503) 494-4314.

Contact Information

Primary practice address
3303 S Bond Ave # Ch8N Portland OR 97239-4501
Phone: (503) 494-4314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD60581884 Washington
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X MD198904 Oregon

Profile Details

NPI number 1831489442
LBN Legal business name Collins, Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2011
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831489442 NPPES
Washington Other MD60581884 WASHINGTON STATE MEDICAL LICENSE
Washington Other MD198904 WASHINGTON STATE MEDICAL LICENSE

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