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NPI Code Detail

MEDICARE: PATRICIA COLLINS CNM,NP

MEDICARE: PATRICIA COLLINS CNM,NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LX0001XObstetrics & Gynecology Nurse PractitionerR105755GA
2363LP1700XPerinatal Nurse PractitionerR105755GA
3367A00000XAdvanced Practice Midwife10253GA

General Provider Information

NPI Number : 1437328937
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA COLLINS CNM,NP
Provider Business Mailing Address
First Line : 3231 SE 50TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2248
Country : US
Telephone Number : 503-775-4931
Fax Number : 503-788-7285
Provider Business Practice Location Address
First Line : 3231 SE 50TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2248
Country : US
Telephone Number : 503-775-4931
Fax Number : 503-788-7285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2008
Last Update Date : 09/24/2008

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Directions to “ PATRICIA COLLINS CNM,NP” Practice Location

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