NPI 1942552062

Richard S Polin PC

Organisation Neurological Surgery Physician Gresham, OR

Practice location

Address: 24900 SE Stark St Suite 208, Gresham, OR 97030-3355
Phone: (503) 666-8139
Fax: (503) 666-3434
Mailing address: PO Box 25714, Portland, OR 97298-0714

Authorised official

Name: Richard Sanders Polin
Title: Owner
Phone: (503) 666-8149

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence MD 25930 (OR)

Other Neurological Surgery providers in Oregon →

Registry record

NPI: 1942552062
Entity type: Organization
NPI issued: 12 Oct 2012
Record last updated: 12 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.