IndividualActive
Jonathan Polikoff, MD
NPI 1497822332 · Medical Oncology Physician · Longview, WA
Provider details
- NPI number
- 1497822332
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G43519 (CA)
Practice location
1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-7878
Fax: (360) 414-7876
Mailing address
4647 Zion Ave
San Diego, CA 92120-2507
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2021-11-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.