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

Individual provider Occupational Therapy Assistant · NPI 1578709531

Mr. Vladislav L Polevoy, COTA is an Occupational Therapy Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

6040 SE Belmont St
Portland, OR 97215
Phone: (971) 206-5200
Fax: (971) 206-5203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 222390 (OR)

Record details

NPI number1578709531
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedDecember 22, 2008
Last updated in NPPESDecember 22, 2008

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