Polanco, Tara
Polanco, Tara is an individual health care provider with primary practice located at 7320 Sw Hunziker St , Tigard OR 97223-8283. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Polanco, Tara can be contacted via phone (888) 317-1019.Contact Information
Primary practice address
7320 Sw Hunziker St
Tigard OR 97223-8283
Phone: (888) 317-1019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1074926 | Oregon |
Profile Details
| NPI number | 1922417724 |
|---|---|
| LBN Legal business name | Polanco, Tara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2014 |
| Last updated | Aug 5th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922417724 | NPPES |
| Oregon | Other | 161216796 | 22 RESPIRATORY, DEVELOPMENTAL, REHABILITATIVE AND RESTORATIVE SERVICE PROVIDERS |
| Oregon | Other | 22 | 22 RESPIRATORY, DEVELOPMENTAL, REHABILITATIVE AND RESTORATIVE SERVICE PROVIDERS |
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