SearchOregon363LF0000X

Fallon Polich

NPI 1386311157 · on the registry since 2021 · sole proprietor

Practice

Address
590 Allison St
Ashland, OR 97520
Phone
(406) 868-6458

Additional practice sites

  • 2825 E Barnett Rd, Medford, OR

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon