Pollack, Bonnie C

Pollack, Bonnie C is an individual health care provider with primary practice located at 1835 Pearl St , Eugene OR 97401-8217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pollack, Bonnie C can be contacted via phone (541) 687-1668.

Contact Information

Primary practice address
1835 Pearl St Eugene OR 97401-8217
Phone: (541) 687-1668
Fax: (541) 684-3061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD16125 Oregon

Profile Details

NPI number 1891765962
LBN Legal business name Pollack, Bonnie C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 15th, 2009 - about 15 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 1891765962 NPPES
Oregon MEDICAID 055603

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