{"npi":"1215790639","type":"NPI-1","status":"active","name":{"display":"Jeffrey Koller PA-C","other":[],"first":"JEFFREY","last":"KOLLER","middle":"ALLAN","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"OR","license":"PA218511"}]},"addresses":[{"purpose":"LOCATION","street_1":"114 SE CHURCH ST","city":"SUBLIMITY","state":"OR","postal_code":"973859424","country_code":"US","phone":"5037692259"},{"purpose":"MAILING","street_1":"114 SE CHURCH ST","city":"SUBLIMITY","state":"OR","postal_code":"973859424","country_code":"US","phone":"5037692259"}],"license":{"state":"OR","number":"PA218511"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240411003577","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"OR","pac_id":"0749629681"}]},"enumeration_date":"2024-01-31","last_updated":"2025-12-22","_meta":{"source":"NPPES","snapshot_date":"2025-12-22","doc_url":"https://findmynpi.com/api"}}