KRISTAN C COLLINS MD
NPI 1255408647
Pediatrics in Portland, OR

Q: What is Kristan Collins's NPI number?

The NPI number for Kristan Collins is 1255408647. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Kristan Collins's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Kristan Collins was last updated on October 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2006

4212 NE BROADWAY ST, PORTLAND, OR 97213(503) 249-8787 Get Directions Write a Review

NPPES record last updated: October 28, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kristan C Collins Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTAN C COLLINS MD (NPI 1255408647) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (MD 17179) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1255408647

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKRISTAN C COLLINSCredential: MD

Location Address4212 NE BROADWAY STPortland, OR 97213-1460

Mailing Address4212 Ne Broadway StPortland, OR 97213-1460 · (503) 249-8787

Phone(503) 249-8787

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateOctober 28, 2010

✔ NPI 1255408647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OR · MD 17179

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4212 NE BROADWAY ST, Portland, OR 97213

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Other Identifiers 3

Medicare UPINF02278OR

Medicaid02920-2OR

Medicare ID-Type Unspecified037WCBBWFOR

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DENNIS D ASBY M.D.

Internal Medicine