Collins, Molly C

Collins, Molly C is an individual health care provider with primary practice located at 272 Nw Medical Loop Ste E , Roseburg OR 97471-5545. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Collins, Molly C can be contacted via phone (541) 900-4285.

Contact Information

Primary practice address
272 Nw Medical Loop Ste E Roseburg OR 97471-5545
Phone: (541) 900-4285
Fax: (888) 810-2993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L6840 Oregon

Profile Details

NPI number 1447387964
LBN Legal business name Collins, Molly C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Jan 8th, 2024 - about 10 months 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 1447387964 NPPES
Idaho MEDICAID 002246100
Idaho Other L4710

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