person
Donald David Polevacik, MSSA
Mental Health Counselor in Portland, Oregon
NPI 1346513868

Donald David Polevacik is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Donald David Polevacik practices in Portland, OR and has the professional credentials of MSSA. The NPI Number for Donald David Polevacik is 1346513868 and holds a License No. (Oregon).

The current practice location address for Donald David Polevacik is 5023 Ne Killingsworth St, Portland, OR and can be reached out via phone at 503-284-4249 and via fax at 503-284-6585.

Location: 5023 Ne Killingsworth St, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1346513868
Provider Name
Donald David Polevacik
Credential
MSSA
Provider Entity Type
Individual
Gender
Male
Address
5023 Ne Killingsworth St, Portland, OR, 97207-8459
Phone Number
503-284-4249
Fax Number
503-284-6585
Provider Enumeration Date
02/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5023 Ne Killingsworth St
City
State
Zip
97218-1915
Phone Number
503-284-4249
Fax Number
503-284-6585
person
Provider Business Mailing Address Details
Address
5023 Ne Killingsworth St
City
State
Zip
97218-1915
Phone Number
503-284-4249
Fax Number
503-284-6585
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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