Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DEREK KOLLER, M.D.
Active Sole ProprietorDR. DEREK KOLLER, M.D. is a Family Medicine healthcare provider located in SALEM, Oregon. NPI 1629338470 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SALEM, OR
Registration Details
- NPI Number
- 1629338470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 25, 2012 (14.208104484436 yrs)
- Last Updated
- Jan 13, 2020
- Licenses
-
284778 (NY)M-14141 (ID)MED-PHYS-LIC-60886 (MT)A143337 (CA)DR.0059780 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6861 LEMONGRASS LOOP SESALEM, OR, 973061474Browse OR providers · Browse ZIP 97306
- Phone
- 3619024789
- Fax
- 3619024588
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SALEM, OR
| Name | Credential | NPI |
|---|---|---|
| MARK JOSEPH SCHERLIE | DO | 1043210719 |
| KAREN DIANE JOHNSON | MD | 1689674996 |
| PAUL GERALD WEAVER | DO | 1053311191 |
| JAMES EARL HEDER | MD | 1487654570 |
| EUGENE YUKIO YAMAGUCHI | MD | 1245230382 |
| MR. ROGER H APPLEGATE | MD | 1770584294 |
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.