Individual
PALOMA SITA KOLKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 471-3455
(541) 471-9242
Mailing address
1701 NW HAWTHORNE AVE, GRANTS PASS, OR 97526-1051
(541) 471-3455
(541) 471-9242
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201607773NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500715478
—
OR
Enumeration date
09/20/2016
Last updated
11/15/2022
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