Provider Demographics
NPI:1275707051
Name:BARBARA G. ISAACS, PH.D.,PC
Entity Type:Organization
Organization Name:BARBARA G. ISAACS, PH.D.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:ISAACS
Authorized Official - Suffix:
Authorized Official - Credentials:PHDPC
Authorized Official - Phone:503-248-0775
Mailing Address - Street 1:5441 SW MACADAM AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3821
Mailing Address - Country:US
Mailing Address - Phone:503-248-0775
Mailing Address - Fax:503-222-5480
Practice Address - Street 1:5441 SW MACADAM AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-6106
Practice Address - Country:US
Practice Address - Phone:503-248-0775
Practice Address - Fax:503-222-5480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2008-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00786305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service