Evan Kollenborn

Peer Specialist · Klamath Falls, OR

Individual Active NPI

NPI number 1063270585

Practice location

2555 Main St
Klamath Falls, OR 97601-2723
Phone
(541) 591-7306

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NPI record

NPI
1063270585
Entity type
Individual (Type 1)
Enumeration date
March 11, 2024
Last updated
March 11, 2024
Certified
March 9, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X 109743 OR

Mailing address

PO Box 1710
Redmond, OR 97756-0516

About Evan Kollenborn

Evan Kollenborn is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 2555 Main St, Klamath Falls, OR 97601-2723. The NPI number 1063270585 was assigned on March 11, 2024 and the record was last updated on March 11, 2024.

Evan Kollenborn lists a license in the registry: #109743 (OR) for Peer Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Evan Kollenborn?

The NPI number is 1063270585.

What is the phone number of Evan Kollenborn?

The phone number listed for the practice location is (541) 591-7306.

Where is Evan Kollenborn located?

2555 Main St, Klamath Falls, OR 97601-2723.

What is the taxonomy code for Evan Kollenborn?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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