Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Donald David Polevacik, MSSA

Individual provider Mental Health Counselor · NPI 1346513868

Donald David Polevacik, MSSA is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

5023 NE Killingsworth St
Portland, OR 97218-1915
Phone: (503) 284-4249
Fax: (503) 284-6585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1346513868
Entity typeIndividual (Type 1)
GenderMale
Credentials MSSA
Sole proprietorNo
NPI enumeratedFebruary 14, 2012
Last updated in NPPESFebruary 14, 2012

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