Individual
REBECCA ISAKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1150
Mailing address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1150
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201392477CNA
OR
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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