Provider Demographics
NPI:1285098848
Name:COLLINS, ANASTASIA (DO)
Entity type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:
Last Name:COLLINS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:A
Other - Last Name:SCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1007 39TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-2192
Mailing Address - Country:US
Mailing Address - Phone:253-435-3100
Mailing Address - Fax:253-435-3138
Practice Address - Street 1:555 ANDOVER PARK W STE 200
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3379
Practice Address - Country:US
Practice Address - Phone:888-803-3370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT8708207Q00000X
CA20A16471207Q00000X
WAOP61210170207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine