Provider Demographics
NPI:1043687353
Name:SCOTT-COLLINS, SEAN (PHARMD)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:SCOTT-COLLINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 W BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-6426
Mailing Address - Country:US
Mailing Address - Phone:503-591-0997
Mailing Address - Fax:503-642-5747
Practice Address - Street 1:7500 W BASELINE RD
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-6426
Practice Address - Country:US
Practice Address - Phone:503-591-0997
Practice Address - Fax:503-642-5747
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0014742183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist