MIRA LEE COLLINS

PORTLAND, OR
NPI1649973801
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  108594)
Enumeration Date2023-03-24
Last Update Date2023-03-24
Business Address
MIRA LEE COLLINS THW, PSS
3231 SE 50TH AVE # 1831
PORTLAND, OR 97206-2248
Phone number: 503-238-5203
Mailing Address
MIRA LEE COLLINS THW, PSS
919 NE 47TH AVE APT 4
PORTLAND, OR 97213-2221
Phone number: 503-704-8403