Jeffrey Allan Koller, PA-C

NPI #1215790639 in Sublimity, Oregon

Provider Information

NPI Number: 1215790639
Entity Type: Individual
Name: Jeffrey Allan Koller, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 31, 2024
Last Updated: Dec 22, 2025

Practice Location

Address: 114 SE CHURCH ST
City: Sublimity
State: Oregon
ZIP Code: 97385-9424
Phone: (503) 769-2259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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