Provider Demographics
NPI:1801610670
Name:YARMOLICH, ISABELLA OLIA
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:OLIA
Last Name:YARMOLICH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 SE 33RD PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-4324
Mailing Address - Country:US
Mailing Address - Phone:360-433-5987
Mailing Address - Fax:
Practice Address - Street 1:5024 SE 33RD PL
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-4324
Practice Address - Country:US
Practice Address - Phone:360-433-5987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-08
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator