NPI 1033249339

Michael Patrick Collins, LMT

Practitioner Contractor Beaverton, OR

Practice location

Address: 11385 SW Scholls Ferry Rd, Beaverton, OR 97008-7167
Phone: (503) 524-9040
Mailing address: 13543 SW 64th Ave, Portland, OR 97219-8054

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 6501 (OR)

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Registry record

NPI: 1033249339
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.