Organization
KIRSTEN ISAKSON, LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN WATERS RN, LAC (OWNER)
(503) 544-5922
Entity
Organization
Contact information
Practice address
3932 SE 149TH AVE, PORTLAND, OR 97236-2420
(503) 544-5922
Mailing address
3932 SE 149TH AVE, PORTLAND, OR 97236-2420
(503) 544-5922
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
10/24/2025
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