Erica Burdette Polidori

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3232 Issued in OR

Practice address

6443 SW Beaverton Hillsdale Hwy Ste 300
Portland, OR 97221-4210

Phone

(971) 301-2239

NPI assigned

Jul 20, 2016

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1275986721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6443 SW BEAVERTON HILLSDALE HWY STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972214210",
            "telephone_number": "971-301-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6443 SW BEAVERTON HILLSDALE HWY STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972214210",
            "telephone_number": "971-301-2239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 W 5th St # 658",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927014599",
            "country_code": "US",
            "telephone_number": "714-834-6713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIDORI",
        "first_name": "ERICA",
        "middle_name": "BURDETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Polgar
• Meredith Polhemus
• Marina V Poliashov, RDH
• Ariel Rose Policano
• Laura G. Polich, PH.D., CCC-A & SLP
• William Wolf Polikoff
• Gina Polimeni
• Benjamin Poling, MA
• Lucas Poling
• Olivia Poling

• Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.