Most Relevant Information
Provider Data
| NPI Number: | 1003682709 |
| Provider Name: | KEITH GREGORY COLLINS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | RN60644670 |
Most Important Dates
| Enumeration Date: | 12/04/2023 |
| Last Updated: | 12/04/2023 |
Provider Practice Location
5400 MACARTHUR BLVD
VANCOUVER
WA
986617049
Practice Location Phone/Fax
| Phone: | 3607591500 |
| Fax: |
Provider Mailing Location
3914 S CIR
WASHOUGAL
WA
986719165
Provider Mailing Phone/Fax
| Phone: | 3606062665 |
| Fax: |