DoctorLicensePro

Dr. Derek Koller, M.D.

Family Medicine

NPI: 1629338470 Oregon
73/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice12/15

14 years

Data Freshness6/10

Updated 2361 days ago

License Status

PennsylvaniaActive
License #

MD476490

Practice Information

Address
6861 LEMONGRASS LOOP SE
SALEM, OR 97306
Phone
(361) 902-4789
In Practice Since
May 25, 2012
Data Last Updated
January 13, 2020

NPI Details

NPI Number
1629338470
Status
Active
Taxonomy Code
207Q00000X
Data sourced from CMS NPPES public database. Last verified: January 13, 2020. Report an error