Barbara Collins

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Gladstone, OR

NPI 1114264223 · NPPES record last updated Jan 9, 2013

Key facts

NPI
1114264223
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
880 82ND Dr
Annex a
Gladstone, OR 97027-1803
Phone
(503) 659-5515
Fax
(503) 210-2475
NPI assigned
Jan 9, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.barbaracollins@148835.advancedmd-direct.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

880 82ND Dr
Annex a
Gladstone, OR 97027-1803

Mailing address

PO Box 82819
Portland, OR 97282-0819
Phone (503) 233-5405

Other providers in Gladstone, OR

All providers in Gladstone, OR · Addiction (Substance Use Disorder) Counselor in Oregon

Sources for this page

Verify at the official NPI Registry.