Individual
MR. KARL JAMES KOLBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1515 NW 18TH AVE, PORTLAND, OR 97209-2516
(503) 228-1306
(503) 228-1307
Mailing address
25 NW 23RD PL, STE 6 - 311, PORTLAND, OR 97210-5580
(503) 913-4450
(866) 866-1976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2675
OR
225100000X
Physical Therapist
4199
WI
225100000X
Physical Therapist
PT00005973
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158552
—
OR
Enumeration date
01/09/2006
Last updated
06/18/2012
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