MEDICARE: MADISON PAIGE COLLINS BSN, RN, CEN

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
1	390200000X	Student in an Organized Health Care Education/Training Program		OR

General Provider Information

NPI Number	:	1548192354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON PAIGE COLLINS BSN, RN, CEN

Provider Business Mailing Address
First Line	:	2774 U ST
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-4692
Country	:	US
Telephone Number	:	415-747-4355
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 RIVERBEND DR
Second Line	:
City	:	SPRINGFIELD
State	:	OR
Zip	:	97477-8800
Country	:	US
Telephone Number	:	541-222-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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