NPI 1063270585

Evan Kollenborn

Practitioner Peer Specialist Klamath Falls, OR

Practice location

Address: 2555 Main St, Klamath Falls, OR 97601-2723
Phone: (541) 591-7306
Mailing address: PO Box 1710, Redmond, OR 97756-0516

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 109743 (OR)

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Registry record

NPI: 1063270585
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Mar 2024
Record last updated: 11 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.