Individual ProviderDavid Alan PollackPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3181 SW Sam Jackson Park Rd, Dept. Of Psychiatry, Uhn-80, Portland, OR 97239-3011(503) 703-3954PECOS EnrollmentBased on the most recent information from CMS, provider David Alan Pollack does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134455033Provider TypeIndividualFull NamePollack, David AlanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date10/27/2009Last Updated10/27/2009Contact InformationPractice LocationPractice Address3181 SW Sam Jackson Park Rd, Dept. Of Psychiatry, Uhn-80, Portland, OR 97239-3011Phone(503) 703-3954Fax(503) 494-6152Mailing LocationMailing Address3181 SW Sam Jackson Park Rd, Dept. Of Psychiatry, Uhn-80, Portland, OR 97239-3011Phone(503) 703-3954Fax(503) 494-6152Provider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense9977OregonProvider IdentifiersIDDescriptionIssuerIDC91010DescriptionMedicaidIssuerUnlistedOregon