Individual
MS. PATRICIA A POLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3710 SW VETERAN'S HOSPITAL RD, PORTLAND, OR 97207-1034
(503) 220-8262
(503) 721-1410
Mailing address
746 SE 45TH AVE, PORTLAND, OR 97215-1620
(503) 220-8262
(503) 721-1410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1904
OR
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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