Polo, Oscar Raphael

Polo, Oscar Raphael is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 362 , Portland OR 97213-2983. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Polo, Oscar Raphael can be contacted via phone (503) 239-6800.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 362 Portland OR 97213-2983
Phone: (503) 239-6800
Fax: (503) 239-0006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD18472 Oregon

Profile Details

NPI number 1275527129
LBN Legal business name Polo, Oscar Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Dec 6th, 2023 - about 2 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 1275527129 NPPES
Washington MEDICAID 2031262
Washington MEDICAID 056783

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