Polensek, Natasha Andrea

Polensek, Natasha Andrea is an individual health care provider with primary practice located at 3303 Sw Bond Ave Ste 9F , Portland OR 97239-4501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Polensek, Natasha Andrea can be contacted via phone (503) 494-8573.

Contact Information

Primary practice address
3303 Sw Bond Ave Ste 9F Portland OR 97239-4501
Phone: (503) 494-8573
Fax: (503) 494-3457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD17280 Oregon

Profile Details

NPI number 1447265962
LBN Legal business name Polensek, Natasha Andrea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 2nd, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447265962 NPPES
Oregon MEDICAID 072244

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