Individual
ISMAILA BARRY I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
(503) 726-3741
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3740
(503) 726-3741
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3167246
OR
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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