Poliashov, Marina V

Poliashov, Marina V is an sole proprietor health care provider with primary practice located at 10102 Ne Glisan St , Portland OR 97220. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Assistant, Dental Providers / Dental Hygienist. Dental Providers / Dental Hygienist is her primary health care specialty. Poliashov, Marina V can be contacted via phone (503) 238-4418.

Contact Information

Primary practice address
10102 Ne Glisan St Portland OR 97220
Phone: (503) 238-4418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 117669 Oregon
Dental Providers / Dental Hygienist 124Q00000X H7006 Oregon

Profile Details

NPI number 1942559596
LBN Legal business name Poliashov, Marina V
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2012
Last updated May 15th, 2018 - about 7 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 1942559596 NPPES
Oregon Other H7006 OREGON BOARD OF DENTISTRY

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