| Richard Kolbell, Phd, Pc | |
|
1923 Ne Broadway St Portland OR 97232-1501 | |
| (503) 284-2371 | |
| Not Available |
| Full Name | Richard Kolbell, Phd, Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1923 Ne Broadway St, Portland, Oregon |
| Authorized Official Name and Position | Richard Kolbell (OWNER) |
| Authorized Official Contact | 5032842372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Kolbell, Phd, Pc 1923 Ne Broadway St Portland OR 97232-1501 Ph: (503) 284-2371 | Richard Kolbell, Phd, Pc 1923 Ne Broadway St Portland OR 97232-1501 Ph: (503) 284-2371 |
| NPI Number | 1982996179 |
|---|---|
| Provider Enumeration Date | 05/06/2011 |
| Last Update Date | 05/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982996179 | NPI | - | NPPES |
| 123823 | Other | OR | OREGON STATE DEPARTMENT OF HUMAN SERVICES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1084 (Oregon) | Primary |
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