Individual
ISAIAH FABIAN DE ALBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4900 SW GRIFFITH DR STE 157, BEAVERTON, OR 97005-2977
(503) 444-8230
(503) 295-4036
Mailing address
12390 NW BARNES RD APT 281, PORTLAND, OR 97229-6048
(626) 756-7912
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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