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Individual

MR. PETER DAVID KOLLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
13130 SE 84TH AVE, CLACKAMAS, OR 97015-9733
(503) 794-5520
(503) 794-5528
Mailing address
13130 SE 84TH AVE, CLACKAMAS, OR 97015-9733
(503) 794-5520
(503) 794-5528

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
6849
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
6849
OR

Other

Enumeration date
11/08/2011
Last updated
01/04/2016
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