Individual
DR. ISAAC ANSON LICHTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, RN
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-4906
Mailing address
100 E 33RD ST STE 100, VANCOUVER, WA 98663-2776
(360) 995-1126
(360) 514-7587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG211324
OR
Other
Enumeration date
04/27/2022
Last updated
04/27/2023
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