Individual
CAROLYN MARIE POLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 652-2880
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD09198
OR
Other
Enumeration date
09/22/2006
Last updated
07/11/2007
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