Provider Demographics
NPI:1740425891
Name:KOLENDAR, CASEY LYNN
Entity Type:Individual
Prefix:MS
First Name:CASEY
Middle Name:LYNN
Last Name:KOLENDAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 W 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3552
Mailing Address - Country:US
Mailing Address - Phone:541-684-2226
Mailing Address - Fax:
Practice Address - Street 1:2101 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3552
Practice Address - Country:US
Practice Address - Phone:541-684-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health