NPI 1477993434

Tatyana Nikolaevna Poleon, LD

Practitioner Denturist Portland, OR

Practice location

Address: 7931 NE Halsey St Suite 307, Portland, OR 97213-6755
Phone: (360) 216-5931
Fax: (503) 252-1214

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-10131109 (OR)

Other Denturist providers in Oregon →

Registry record

NPI: 1477993434
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Jul 2013
Record last updated: 4 Jul 2013

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.