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Search › Oregon › 207Q00000X

Derek Koller, M.D

NPI 1629338470 · on the registry since 2012 · sole proprietor

Practice

Address
6861 Lemongrass Loop Se
Salem, OR 97306
Phone
(361) 902-4789
Fax
(361) 902-4588

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
207Q00000X
Licence states on file
NY, ID, MT, CA, CO, WA, OR, NM, NV, WY, AZ, TX, FL, IL, HI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-01-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon