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1346312154

NPI Code Detail

MEDICARE: REBECCA POLISKIN MD

MEDICARE: REBECCA POLISKIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A90926	CA
2	207R00000X	Internal Medicine Physician	MD60665128	WA
3	207R00000X	Internal Medicine Physician	MD170009	OR

General Provider Information

NPI Number	:	1346312154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA POLISKIN MD

Provider Business Mailing Address
First Line	:	500 NE MULTNOMAH ST STE 1000
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97232-2023
Country	:	US
Telephone Number	:	800-813-2000
Fax Number	:	855-524-5255

Provider Business Practice Location Address
First Line	:	3175 NE ALOCLEK DR
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97124-7135
Country	:	US
Telephone Number	:	800-813-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	11/13/2025

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Directions to “ REBECCA POLISKIN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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