IndividualActive
Jason Polder, M.D.
NPI 1144751470 · Vascular & Interventional Radiology Physician · Portland, OR
Provider details
- NPI number
- 1144751470
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 219503 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
9205 Sw Barnes Rd Ste 150
Portland, OR 97225-6603
Phone: (503) 216-4830
Fax: (503) 216-4850
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25180
Portland, OR 97298-0180
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2024-08-19
- Certified
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.