Kathryn Poleson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006333 Issued in WA

Practice address

916 SE 164TH Ave Ste 200
Vancouver, WA 98683-9602

Phone

(360) 254-8300

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225248289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16505A SE 1ST ST # 141",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986849509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SE 164TH AVE STE 200",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839602",
            "telephone_number": "360-254-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLESON",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allonah Rose Podvin, RN
• Points of Origin, PLLC
• Dipesh Pokharel, MD
• David Edwin Poland, MSW
• Pavel Polehna, MD
• Casey Rae Poling
• Laura Polione
• Brian Scott Pollard, PHARMD
• Christian Pollard, DC
• Christine Jean Pollastro, MSW

• Dentist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Dentist in Washington

• 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.