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Contact Information

JAN PABLO G KOLLMAR, MD
707 SW WASHINGTON ST STE 700
PORTLAND, OR97205
 Phone: 503-299-9906
 Fax: 503-225-9002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JAN PABLO G KOLLMAR · (Male)

NPI Number 1073923249
Status Active
Credentials MD
Entity Individual
Enumeration date 04/28/2014
Last updated 09/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 274344
  • OR License # MD192708
  • OR Medicaid 500766145
Hospital affiliation(s)
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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