Individual
ERIC POLGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4530 SE 59TH AVE, PORTLAND, OR 97206-4702
(503) 349-8532
Mailing address
4530 SE 59TH AVE, PORTLAND, OR 97206-4702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16474
OR
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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