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 |
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Provider Enumeration Date | 08/11/2009 |
Last Update Date | 10/13/2009 |
Medicare PECOS PAC ID | 3971640350 |
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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 |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487699583 PECOS PAC ID: 9537156120 Enrollment ID: I20040427000384 |
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