NPI 1003912494
Gwendolyn Eve Pollan, EFDA
Practice location
- Address
- 5025 SE 28th Ave, Portland, OR 97202-4445
- Phone
- (503) 238-4418
- Fax
- (503) 238-0360
- Mailing address
- 13826 Meyers Rd APT 2147, Oregon City, OR 97045-7964
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1003912494
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Sep 2006
- Record last updated
- 8 Jul 2007
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.