Individual
ADAM POLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3514 NE BROADWAY ST, PORTLAND, OR 97232-1821
(503) 284-1602
(503) 284-1602
Mailing address
3514 NE BROADWAY ST, PORTLAND, OR 97232-1821
(503) 284-1602
(503) 284-1602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9383
OR
1223G0001X
General Practice Dentistry
DE60123701
WA
Other
Enumeration date
01/13/2010
Last updated
10/11/2023
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