Individual
DOUGLAS A COL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
542 WASHINGTON ST, STE 200, ASHLAND, OR 97520
(541) 488-6941
(541) 488-6951
Mailing address
542 WASHINGTON ST, STE 200, ASHLAND, OR 97520
(541) 488-6941
(541) 488-6951
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1346
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295715
—
OR
01
—
R106323
MEDICARE ID-PIN
OR
Enumeration date
04/12/2007
Last updated
10/27/2016
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