Koller, Richard Lynn
Koller, Richard Lynn is an individual health care provider with primary practice located at 2863 Nw Crossing Dr Ste 100 , Bend OR 97701-7189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Koller, Richard Lynn can be contacted via phone (541) 322-3570.Contact Information
Primary practice address
2863 Nw Crossing Dr Ste 100
Bend OR 97701-7189
Phone: (541) 322-3570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD20333 | Oregon |
Profile Details
| NPI number | 1255330031 |
|---|---|
| LBN Legal business name | Koller, Richard Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Sep 12th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255330031 | NPPES |
| Oregon | Other | P01060391 | MEDICARE RAILROAD |
| Oregon | MEDICAID | 150158 | MEDICARE RAILROAD |
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