Individual
DR. RICHARD LYNN KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2863 NW CROSSING DR STE 100, BEND, OR 97701-7189
(541) 322-3570
Mailing address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD20333
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150158
—
OR
01
—
P01060391
MEDICARE RAILROAD
OR
Enumeration date
07/14/2005
Last updated
09/12/2013
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