Individual
KYLE ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7340 SW HUNZIKER ST, SUITE 210, TIGARD, OR 97223-8285
(503) 352-0036
Mailing address
7340 SW HUNZIKER ST, SUITE 210, TIGARD, OR 97223-8285
(503) 352-0036
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2727
OR
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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