Individual
JEFFREY ALLAN KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
114 SE CHURCH ST, SUBLIMITY, OR 97385-9424
(503) 769-2259
Mailing address
114 SE CHURCH ST, SUBLIMITY, OR 97385-9424
(503) 769-2259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA218511
OR
Other
Enumeration date
01/31/2024
Last updated
12/22/2025
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