Provider Demographics
NPI:1932498995
Name:POLLIN, RACHEL A (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:POLLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 SW WEST SLOPE DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3830
Mailing Address - Country:US
Mailing Address - Phone:503-224-0265
Mailing Address - Fax:
Practice Address - Street 1:8080 SW WEST SLOPE DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3830
Practice Address - Country:US
Practice Address - Phone:503-224-0265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2480101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional