Individual
JENNIFER KATHRYN ISBELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
302 E 4TH ST, THE DALLES, OR 97058-2208
(541) 397-0074
Mailing address
302 E 4TH ST, THE DALLES, OR 97058-2208
(541) 397-0074
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
61041788
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61041788
WASHINGTON STATE HEARING AID DISPENSING LICENSE
WA
Enumeration date
03/15/2021
Last updated
04/18/2021
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