Collin Korthauer

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1650 SW 45TH Place
Corvallis, OR 97333

Phone

(541) 757-8068

NPI assigned

Nov 27, 2018

Last updated

Nov 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Old Mill Center for Children and Families

  • Adolescent and Children Mental Health Clinic/Center
  • Corvallis, OR
  • NPI 1285719195
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1437629037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SW 45TH PLACE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97333",
            "telephone_number": "541-757-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SW 45TH PLACE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97333",
            "telephone_number": "541-757-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTHAUER",
        "first_name": "COLLIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128715",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Suzanne Kollen
• Angela Marie Koning, LPC
• Rob Koning
• Kerin S Konkler, NP
• Keelie Korsness, MSC, RDN, LD
• James Robert Koski, MD, MPH
• Amber Lynn Kovich
• Wayne A Kradjan, PHARM.D.
• Shawn Kraft
• Kendall Kramer

• Case Manager/Care Coordinator in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.