Individual
DR. RUBEN POLLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1369 N 10TH AVE, STAYTON, OR 97383-2037
(503) 769-7960
(503) 769-9860
Mailing address
1369 N 10TH AVE, STAYTON, OR 97383
(503) 769-7960
(503) 769-2172
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00368
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271049
—
OR
01
—
4020070001
CIGNA MEDICARE DMERC
CA
Enumeration date
07/08/2005
Last updated
02/15/2017
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