Individual
DR. JEFFREY MICHAEL POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
(503) 692-5307
Mailing address
PO BOX 488, TUALATIN, OR 97062-0488
(805) 286-3826
(805) 221-6843
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
200501952
NC
2085N0700X
Neuroradiology Physician
MD27981
OR
2085R0202X
Diagnostic Radiology Physician
200501952
NC
2085R0202X
Diagnostic Radiology Physician
Primary
MD27981
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145JE
BCBS
—
05
—
1811019383
—
VA
01
—
199207
MEDOST
—
05
—
242329
—
OR
05
—
3810009023
—
WV
05
—
5906697
—
NC
01
—
810604
PARTNERS
—
01
—
9347081
AETNA
—
05
—
Q01952
—
SC
Enumeration date
04/04/2007
Last updated
01/12/2021
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