Individual
DR. MICHOL POLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
501 MAIN ST, SUITE 207, KLAMATH FALLS, OR 97601
(541) 223-9417
(541) 882-2583
Mailing address
501 MAIN ST, SUITE 207, KLAMATH FALLS, OR 97601
(541) 223-9417
(541) 882-2583
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
845
TN
106H00000X
Marriage & Family Therapist
MFT000940
GA
106H00000X
Marriage & Family Therapist
Primary
T0815
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500649144
—
OR
Enumeration date
07/20/2005
Last updated
03/11/2022
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