Provider Demographics
NPI:1558153239
Name:OYER, COLSEN
Entity type:Individual
Prefix:
First Name:COLSEN
Middle Name:
Last Name:OYER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 PARKVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:45640-1526
Mailing Address - Country:US
Mailing Address - Phone:740-710-0726
Mailing Address - Fax:
Practice Address - Street 1:84 E MOUND ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-1226
Practice Address - Country:US
Practice Address - Phone:740-577-3834
Practice Address - Fax:740-395-0905
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator