Individual
DR. JAN-PABLO GEORG LEWIS KOLLMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, PORTLAND, OR 98124-5147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
274344
MA
207L00000X
Anesthesiology Physician
Primary
MD192708
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500766145
—
OR
Enumeration date
04/28/2014
Last updated
09/06/2019
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