| Doctor Name: | MS. BARBARA COLLINS |
| NPI Number: | 1114264223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 880 82nd Dr Annex A Gladstone, OR - 970271803 |
| Business Phone Number: | 5036595515 |
| Business Fax Number: | 5032102475 |
| Mailing Address: | Po Box 82819, PORTLAND |
| State: | OR |
| Postal Code: | 972820819 |
| Phone Number: | 5032335405 |
| Fax Number: | 5032332696 |
| NPI Enumeration Date: | 01/09/2013 |
| NPI Last Update Date: | 01/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |