Evan Kollenborn

NPI #1063270585 in Klamath Falls, Oregon

Provider Information

NPI Number: 1063270585
Entity Type: Individual
Name: Evan Kollenborn
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 11, 2024
Last Updated: Mar 11, 2024

Practice Location

Address: 2555 MAIN ST
City: Klamath Falls
State: Oregon
ZIP Code: 97601-2723
Phone: (541) 591-7306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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