Marina Poltorak

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11-06-96U Issued in OR

Practice address

3910 SE Stark St
Portland, OR 97214-3241

Phone

(503) 914-9978

NPI assigned

Sep 18, 2014

Last updated

Sep 18, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Volunteers of America Inc.

  dba Volunteers Of America Of Oregon Inc.

  • Contractor
  • Portland, OR
  • NPI 1376611418
  NPD (past)
• Volunteers of America Oregon

  • Specialist
  • Portland, OR
  • NPI 1801298724
  NPD (past)

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1598167736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143241",
            "telephone_number": "503-914-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143241",
            "telephone_number": "503-914-9978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLTORAK",
        "first_name": "MARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "11-06-96U",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Garrett Pollock, LCSW, CADCIII
• Polly Gravely Counseling LLC
• Andrea Marie Polo, FNP
• Oscar Raphael Polo, M.D.
• Jan Linette Polson, L,AC., DIPL. AC.
• Jessica Polverini, RN
• Aimee M Polzin, PRE-CADC,QMHP
• Sue T. Polzin, LCSW
• Aaron Jake Pomerantz, MFT
• Karen Pomerantz, LCSW

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.