Individual
DR. SALLIE E ISRAELIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1547 NE 40TH AVE STE B, PORTLAND, OR 97232-1862
(503) 284-1937
(503) 284-3908
Mailing address
1840 E RAY RD, CHANDLER, AZ 85225-8720
(855) 397-0197
(800) 272-6512
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD25680
OR
207RN0300X
Nephrology Physician
MD60243670
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079318
—
WA
05
—
213425
—
OR
Enumeration date
12/29/2005
Last updated
12/09/2019
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