Herbert, Jeffery Kolk

Herbert, Jeffery Kolk is an individual health care provider with primary practice located at 520 Medical Center Dr Suite 300, Medford OR 97504-4334. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Herbert, Jeffery Kolk can be contacted via phone (541) 282-6685.

Contact Information

Primary practice address
520 Medical Center Dr Suite 300 Medford OR 97504-4334
Phone: (541) 282-6685
Fax: (541) 282-6686
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00572 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00572 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00572 Oregon

Profile Details

NPI number 1174604359
LBN Legal business name Herbert, Jeffery Kolk
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174604359 NPPES
Oregon MEDICAID 064456
Oregon Other 4898008

Popular Providers