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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DAVID MARTIN KOELLER, MD

Active

Geriatric Psychiatry · PORTLAND, OR

Registration Details

NPI Number
1629086145
Provider Type
Individual
Gender
Male
NPI Issued
Aug 3, 2006 (19.716743866912 yrs)
Last Updated
Jul 11, 2007
Licenses
MD22656 (OR)
MD22656 (OR)

Practice Information

Address
3181 SW SAM JACKSON PARK RD
PORTLAND, OR, 972393011
Browse OR providers · Browse ZIP 97239
Phone
5034947859
Primary Specialty
Geriatric Psychiatry
207SG0202X
Additional Specialty
Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.