Organization
RICHARD S POLIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SANDERS POLIN MD (OWNER)
(503) 666-8149
Entity
Organization
Contact information
Practice address
24900 SE STARK ST, SUITE 208, GRESHAM, OR 97030-3355
(503) 666-8139
(503) 666-3434
Mailing address
PO BOX 25714, PORTLAND, OR 97298-0714
(503) 666-8139
(503) 666-3434
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD 25930
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043373996
INDIVIDUAL NPI
OR
Enumeration date
10/12/2012
Last updated
10/12/2012
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