Individual
JASON MICHAEL POLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9205 SW BARNES RD STE 150, PORTLAND, OR 97225-6603
(503) 216-4830
(503) 216-4850
Mailing address
PO BOX 25180, PORTLAND, OR 97298-0180
(503) 797-6356
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
219503
OR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
219506
OR
Other
Enumeration date
03/27/2017
Last updated
08/19/2024
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