Individual
GWENDOLYN EVE POLLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
5025 SE 28TH AVE, PORTLAND, OR 97202-4445
(503) 238-4418
(503) 238-0360
Mailing address
13826 MEYERS RD APT 2147, OREGON CITY, OR 97045-7964
(503) 238-4418
(503) 238-0360
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
112357
OR
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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