Organization
RICHARD KOLBELL, PHD, PC
Active
Organization
RICHARD KOLBELL, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD KOLBELL PHD (OWNER)
(503) 284-2372
Entity
Organization
Contact information
Practice address
1923 NE BROADWAY ST, PORTLAND, OR 97232-1501
(503) 284-2371
Mailing address
1923 NE BROADWAY ST, PORTLAND, OR 97232-1501
(503) 284-2371
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1084
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123823
OREGON STATE DEPARTMENT OF HUMAN SERVICES
OR
Enumeration date
05/06/2011
Last updated
05/06/2011
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