Individual
DR. KELLY ANN POLLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD174707
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD60375352
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275770463
—
WA
05
—
500707623
—
OR
Enumeration date
01/09/2009
Last updated
10/18/2018
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