DAVE COLLINS

PORTLAND, OR
NPI1245783695
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: AZ  CO002780)
Enumeration Date2016-08-02
Last Update Date2016-08-02
Business Address
-- DAVE COLLINS CO002780
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3009
Phone number: 503-221-3430
Mailing Address
-- DAVE COLLINS CO002780
PO BOX 865109
ORLANDO, FL 32886-5109
Phone number: 503-221-3430