Individual
ISAIAH RUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
9300 SW BAILEY ST APT 56, WILSONVILLE, OR 97070-8721
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
10008600
OR
Other
Enumeration date
10/04/2025
Last updated
10/04/2025
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