| Barbara Kollmar Llc | |
|
307 E 2nd St Suite 130 Newberg OR 97132-3076 | |
| (503) 989-1534 | |
| (503) 538-1842 |
| Full Name | Barbara Kollmar Llc |
|---|---|
| Speciality | Social Worker |
| Location | 307 E 2nd St, Newberg, Oregon |
| Authorized Official Name and Position | Barbara Kollmar (OWNER) |
| Authorized Official Contact | 5039891534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara Kollmar Llc 307 E 2nd St Suite 130 Newberg OR 97132-3076 Ph: (503) 989-1534 | Barbara Kollmar Llc 307 E 2nd St Suite 130 Newberg OR 97132-3076 Ph: (503) 989-1534 |
| NPI Number | 1689806507 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 10/13/2009 |
| Medicare PECOS PAC ID | 3971640350 |
|---|---|
| Medicare Enrollment ID | O20091019000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689806507 | NPI | - | NPPES |
| 1487699583 | Other | OR | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1672 (Oregon) | Primary |
| Provider Name | Barbara J Kollmar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487699583 PECOS PAC ID: 9537156120 Enrollment ID: I20040427000384 |
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