EVAN KOLLENBORN
NPI 1063270585
Peer Specialist in Klamath Falls, OR

Active since March 11, 2024
2555 MAIN ST, KLAMATH FALLS, OR 97601(541) 591-7306 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evan Kollenborn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN KOLLENBORN (NPI 1063270585) is an individual peer specialist in Klamath Falls, Oregon, licensed in Oregon (109743) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1063270585
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameEVAN KOLLENBORN
Location Address2555 MAIN STKlamath Falls, OR 97601-2723
Mailing AddressPo Box 1710Redmond, OR 97756-0516
Sole ProprietorNo
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 9, 2024
NPI 1063270585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OR · 109743
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2555 MAIN ST, Klamath Falls, OR 97601

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2555 MAIN ST
KLAMATH FALLS, OR 97601
Technician
2555 MAIN ST
KLAMATH FALLS, OR 97601
Substance Abuse Rehabilitation Facility
2555 MAIN ST
KLAMATH FALLS, OR 97601
Counselor (Addiction (Substance Use Disorder))
2555 MAIN ST
KLAMATH FALLS, OR 97601
Counselor (Addiction (Substance Use Disorder))
2555 MAIN ST
KLAMATH FALLS, OR 97601
Counselor (Addiction (Substance Use Disorder))
2555 MAIN ST
KLAMATH FALLS, OR 97601
Social Worker (Clinical)
2555 MAIN ST
KLAMATH FALLS, OR 97601
Counselor
2555 MAIN ST
KLAMATH FALLS, OR 97601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Kollenborn's NPI number?

The NPI number for Evan Kollenborn is 1063270585. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Evan Kollenborn located?

Evan Kollenborn practices at 2555 Main St, Klamath Falls, OR 97601. The listed phone number is (541) 591-7306.

What is Evan Kollenborn's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Evan Kollenborn was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.