Collins, Kellie L
Collins, Kellie L is an individual health care provider with primary practice located at 5005 Meadows Rd Ste 405 , Lake Oswego OR 97035-4291. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Collins, Kellie L can be contacted via phone (971) 232-1120.Contact Information
Primary practice address
5005 Meadows Rd Ste 405
Lake Oswego OR 97035-4291
Phone: (971) 232-1120
Fax: (855) 750-2962
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | R2813 | Oregon |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPCC22156 | California |
Profile Details
| NPI number | 1114265840 |
|---|---|
| LBN Legal business name | Collins, Kellie L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2013 |
| Last updated | Apr 17th, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114265840 | NPPES |
| California | Other | LPCC22156 | LICENSE |
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