Individual
LISA MARIE KOLKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
121 SE VIEWMONT AVE, CORVALLIS, OR 97333-1968
(541) 766-3546
(541) 766-6143
Mailing address
121 SE VIEWMONT AVE, CORVALLIS, OR 97333-1968
(541) 766-3546
(541) 766-6143
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
—
CA
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
06/07/2016
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