Individual
ADAM POLANSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2274 SW VERMONT ST, PORTLAND, OR 97219-9429
(516) 459-0321
Mailing address
2274 SW VERMONT ST, PORTLAND, OR 97219-9429
(516) 459-0321
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC179285
OR
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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