Individual
ISATOU SYLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 SW CAMPUS DR, PORTLAND, OR 97239-3107
(503) 418-5700
Mailing address
3422 SE 58TH AVE, PORTLAND, OR 97206-2812
(206) 854-1747
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
113060
OR
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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