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1144255175
VICKI COLLISTER
PORTLAND, OR
NPI
1144255175
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Other Name
VICKI KAY COLLISTER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 087000014N3)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
-- VICKI COLLISTER ANP
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-4620
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Mailing Address
-- VICKI COLLISTER ANP
PO BOX 3178
PORTLAND, OR 97208-3178
Phone number: 503-215-6494
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