Individual provider · Type 1 NPI

Evan Kollenborn

Peer Specialist · Klamath Falls, OR

NPI number 1063270585 Active

Practice location

2555 Main St
Klamath Falls, OR 97601-2723

Call (541) 591-7306 Map

Mailing address

PO Box 1710
Redmond, OR 97756-0516

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X109743 (OR)

Peer Specialist: 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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About NPI 1063270585

Evan Kollenborn's National Provider Identifier is 1063270585, issued on Mar 11, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Mar 11, 2024.