Gwendolyn Eve Pollan EFDA

NPI 1003912494 - Dental Assistant - 126800000X

NPI Details
NPI 1003912494
Gender Female
Enumeration Date 09/15/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5025 SE 28TH AVE
PORTLAND OR, 97202-4445, US
Phone (503) 238-4418
Fax (503) 238-0360
Business Location
13826 MEYERS RD APT 2147
OREGON CITY OR, 97045-7964, US
Phone (503) 238-4418
Fax (503) 238-0360
Taxonomy Code 126800000X
License State Oregon
License Number 112357
Remove 1003912494 NPI Number

According to our database, Gwendolyn Eve Pollan EFDA NPI is 1003912494, taxonomy code is 126800000X and license number is 112357, license state is located at Oregon. Gwendolyn Eve Pollan EFDA physically located at 5025 Se 28th Ave, Portland OR, 97202-4445. NPI Number Gwendolyn Eve Pollan EFDA has the Individual type.

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1003912494 NPI number is provided on an as is basis without warranty of any kind. 1003912494 is maintained by the National Plan & Provider Enumeration System. The contents of Gwendolyn Eve Pollan EFDA are for informational purposes only.