Kirsten Isakson, Lac | |
7831 Se Lake Rd Ste 102 Milwaukie OR 97267-2193 | |
(503) 482-7556 | |
(971) 244-9171 |
Full Name | Kirsten Isakson, Lac |
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Speciality | Clinic/center |
Location | 7831 Se Lake Rd Ste 102, Milwaukie, Oregon |
Authorized Official Name and Position | Kirsten Isakson (OWNER) |
Authorized Official Contact | 5035445922 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kirsten Isakson, Lac 6738 Se Ramona St Portland OR 97206-5963 Ph: () - | Kirsten Isakson, Lac 7831 Se Lake Rd Ste 102 Milwaukie OR 97267-2193 Ph: (503) 482-7556 |
NPI Number | 1780191924 |
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Provider Enumeration Date | 01/09/2018 |
Last Update Date | 01/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780191924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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