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DONALD DAVID POLEVACIK M.S.S.A.
NPI 1346513868
Counselor - Mental Health in Portland, OR

Active since February 14, 2012
5023 NE KILLINGSWORTH ST, PORTLAND, OR 97218(503) 284-4249(503) 284-6585 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald David Polevacik M.s.s.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD DAVID POLEVACIK M.S.S.A. (NPI 1346513868) is an individual mental health provider in Portland, Oregon and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1346513868
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDONALD DAVID POLEVACIKCredential: M.S.S.A.
Location Address5023 NE KILLINGSWORTH STPortland, OR 97218-1915
Mailing AddressPo Box 8459Portland, OR 97207-8459 · (503) 238-0769
Phone(503) 284-4249
Fax(503) 284-6585
Sole ProprietorNo
Enumeration DateFebruary 14, 2012
✔ NPI 1346513868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5023 NE KILLINGSWORTH ST, Portland, OR 97218
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREESHA CUMMINGS
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
AMANDA MARIE STANDIFORD BS
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
CHESSA PINK
Counselor (Mental Health)
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
KATHRYN BURROWS
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
ZINNIA IMANI KEYES
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-1807
DANIELLE MORRIS
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
HILLARY KYLER
Adult Companion
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249
COURTNEY ARLINE FLORIO
Case Manager/Care Coordinator
5023 NE KILLINGSWORTH ST
PORTLAND, OR 97218
Multnomah County (503) 284-4249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Polevacik's NPI number?

The NPI number for Donald Polevacik is 1346513868. It was assigned to this individual provider in the NPPES registry on February 14, 2012.

Where is Donald Polevacik located?

Donald Polevacik practices at 5023 NE Killingsworth St, Portland, OR 97218. The listed phone number is (503) 284-4249.

What is Donald Polevacik's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Donald Polevacik was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.