Organization
NORTHSTAR NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LYNN KOLLER MD (MANAGING PARTNER)
(541) 330-6463
Entity
Organization
Contact information
Practice address
2275 NE DOCTORS DR, STE 9, BEND, OR 97701-6324
(541) 330-6463
(541) 330-1490
Mailing address
2275 NE DOCTORS DR, STE 9, BEND, OR 97701-6324
(541) 330-6463
(541) 330-1490
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2006
Last updated
08/22/2020
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