DR. RICHARD LYNN KOLLER M.D. NPI 1255330031

NPI Information

NPI: 1255330031
Provider Name: DR. RICHARD LYNN KOLLER, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
2863 NW CROSSING DR STE 100
BEND, OR
ZIP 97701
Phone: (541) 322-3570
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DR. Richard Lynn Koller, M.D. is a neurology psychiatry neurology in Bend, OR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Richard Lynn Koller, M.D. NPI is 1255330031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2863 NW CROSSING DR STE 100
BEND, OR
ZIP 97701-189
Phone: (541) 322-3570

The enumeration date for this NPI number is 7/14/2005 and was last updated on 9/12/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD20333	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A94287	MEDICARE UPIN	OREGON
2	R163885	MEDICARE PIN	OREGON
3	150158	MEDICAID	OREGON
4	P01060391	OTHER	OREGON	MEDICARE RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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