| Doctor Name: | MS. MARY L COLLINS |
| NPI Number: | 1417069113 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA/CCC-SLP |
| License Number: | 10839 |
| Business Practice Address: | 2211 E Mill Plain Blvd Vancouver, WA - 986614329 |
| Business Phone Number: | 3604186001 |
| Business Fax Number: | |
| Mailing Address: | 2701 Nw Vaughn St, Suite 140 PORTLAND |
| State: | OR |
| Postal Code: | 972105311 |
| Phone Number: | 5034995200 |
| Fax Number: | 5034995213 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/15/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 10839 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |