Individual provider · Type 1 NPI
Jason Michael Polder, MD
Vascular & Interventional Radiology Physician · Portland, OR
NPI number
1144751470
Active
Practice location
9205 SW Barnes Rd Ste 150
Portland, OR 97225-6603
Fax (503) 216-4850
Mailing address
PO Box 25180
Portland, OR 97298-0180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 219503 (OR) |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | 219506 (OR) |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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About NPI 1144751470
Jason Michael Polder, MD's National Provider Identifier is 1144751470, issued on Mar 27, 2017. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Portland, OR. The record was last updated on Aug 19, 2024.