Gwendolyn Eve Pollan, EFDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

112357 Issued in OR

Practice address

5025 SE 28TH Ave
Portland, OR 97202-4445

Phone

(503) 238-4418

Fax

(503) 238-0360

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Wendy Eve Pollan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kaiser Dental

  • Dental Assistant
  • Portland, OR
  • NPI 1003965922
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003912494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13826 MEYERS RD APT 2147",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970457964",
            "telephone_number": "503-238-4418",
            "fax_number": "503-238-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024445",
            "telephone_number": "503-238-4418",
            "fax_number": "503-238-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAN",
        "first_name": "GWENDOLYN",
        "middle_name": "EVE",
        "credential": "EFDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "OR",
            "license": "112357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "POLLAN",
            "middle_name": "EVE",
            "credential": "EFDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Polito, NURSE PRACTITIONER
• Amanda Polk
• Larone Artego Polk II, CADCI
• Danielle Pollack
• David Alan Pollack, M.D.
• Gregory Russell Pollard-Hermann, CRNA
• Heidi Jo Pollard-Hermann, MA, MSN, RN
• Alissa Pollard, OTR/L
• Amber Star Pollard, LMT
• Chad Jonathan Pollard

• Dental Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Dental Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.