Whalio Doctors

NPI 1003912494

Gwendolyn Eve Pollan, EFDA

Practitioner Dental Assistant Portland, OR

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
Dental Providers Taxonomy 126800000X Licence 112357 (OR)

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.