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Contact Information

DAVID M COLLINS, PA-C
450 TATONE STREET
BOARDMAN, OR97818
 Phone: 541-481-7212
 Fax: 541-481-2020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID M COLLINS · (Male)

NPI Number 1548320302
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 12/11/2006
Last updated 05/04/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA01149
  • OR Medicaid 227616
Hospital affiliation(s)
  • LOWER UMPQUA HOSPITAL DISTRICT - (Critical Access)
    600 RANCH ROAD
    REEDSPORT, OR 97467
  • MERCY MEDICAL CENTER - (Acute Care)
    2700 NW STEWART PARKWAY
    ROSEBURG, OR 97471
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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