Polster, Darrell Martin

Polster, Darrell Martin is an sole proprietor health care provider with primary practice located at 335 Se 8Th Ave , Hillsboro OR 97123-4246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Polster, Darrell Martin can be contacted via phone (503) 681-1270.

Contact Information

Primary practice address
335 Se 8Th Ave Hillsboro OR 97123-4246
Phone: (503) 681-1270
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35084131P Ohio
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD171659 Oregon
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G88700 California

Profile Details

NPI number 1942283676
LBN Legal business name Polster, Darrell Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Nov 11th, 2015 - about 10 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 1942283676 NPPES
Ohio MEDICAID 2486493
Ohio Other 3494801
Ohio Other 000000327106
Ohio MEDICAID 64079379
Ohio MEDICAID 200483990
Ohio Other 5781475

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