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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 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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