Individual
PENNY L KOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 NW GARDEN VALLEY BLVD STE 46B, ROSEBURG, OR 97471-6528
(541) 673-1599
Mailing address
363 HIGH ST, EUGENE, OR 97401-2309
(541) 465-3966
(541) 465-3967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
084060835RN
OR
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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