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Evan Kollenborn
Peer Specialist in Klamath Falls, Oregon
NPI 1063270585

Evan Kollenborn is a Peer Specialist based in Redmond, OR. Evan Kollenborn practices in Klamath Falls, OR. The NPI Number for Evan Kollenborn is 1063270585 and holds a License No. 109743 (Oregon).

The current practice location address for Evan Kollenborn is 2555 Main St, Klamath Falls, OR and can be reached out via phone at 541-591-7306.

Location: 2555 Main St, Klamath Falls, OR, 97756-0516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063270585
Provider Name
Evan Kollenborn
Credential
Provider Entity Type
Individual
Gender
Male
Address
2555 Main St, Klamath Falls, OR, 97756-0516
Phone Number
541-591-7306
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2555 Main St
City
Klamath Falls
State
Oregon
Zip
97601-2723
Phone Number
541-591-7306
Fax Number
person
Provider Business Mailing Address Details
Address
2555 Main St
City
Klamath Falls
State
Oregon
Zip
97601-2723
Phone Number
541-591-7306
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
109743 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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