Individual
ISAAC OBENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9555 SW BARNES RD STE 275, PORTLAND, OR 97225-6680
(971) 328-4386
(971) 231-0270
Mailing address
10190 SE 37TH AVE, PORTLAND, OR 97222-5827
(503) 841-3798
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
PA179379
OR
363AS0400X
Surgical Physician Assistant
Primary
APPLIED
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
05/22/2015
Last updated
08/21/2025
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