Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Kollenborn

Individual provider Peer Specialist · NPI 1063270585

Evan Kollenborn is a Peer Specialist in Klamath Falls, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

2555 Main St
Klamath Falls, OR 97601-2723
Phone: (541) 591-7306
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 109743 (OR)

Record details

NPI number1063270585
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 11, 2024
Last updated in NPPESMarch 11, 2024
Certification dateMarch 9, 2024
Mailing addressPo Box 1710, Redmond, OR 97756-0516

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