Pollak, Kelly Ann
Pollak, Kelly Ann is an individual health care provider with primary practice located at 707 Sw Washington St Suite 700, Portland OR 97205-3536. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Pollak, Kelly Ann can be contacted via phone (503) 299-9906.Contact Information
Primary practice address
707 Sw Washington St Suite 700
Portland OR 97205-3536
Phone: (503) 299-9906
Fax: (503) 225-9002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD60375352 | Washington |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD174707 | Oregon |
Profile Details
| NPI number | 1275770463 |
|---|---|
| LBN Legal business name | Pollak, Kelly Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2009 |
| Last updated | Oct 18th, 2018 - about 8 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 | 1275770463 | NPPES |
| Washington | MEDICAID | 1275770463 | |
| Washington | MEDICAID | 500707623 |
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