Individual
CYNTHIA M POLANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7912 SW 35TH AVE STE 3, PORTLAND, OR 97219-2427
(503) 278-4970
(503) 447-6640
Mailing address
7912 SW 35TH AVE STE 3, PORTLAND, OR 97219-2427
(503) 278-4970
(503) 447-6640
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1997
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500770354
—
OR
Enumeration date
04/24/2009
Last updated
03/27/2020
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