Individual provider · Type 1 NPI

Jeffrey Allan Koller, PA-C

Physician Assistant · Sublimity, OR

NPI number 1215790639 Active

Practice location

114 SE Church St
Sublimity, OR 97385-9424

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA218511 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1215790639

Jeffrey Allan Koller, PA-C's National Provider Identifier is 1215790639, issued on Jan 31, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sublimity, OR. The record was last updated on Dec 22, 2025.