Individual
BROCK KOLANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
1492 NW CARL AVE, ROSEBURG, OR 97471-1903
(507) 461-5110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
457961
OR
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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