Emoniel Isakharov

NPI #1649777863 in Tualatin, Oregon

Provider Information

NPI Number: 1649777863
Entity Type: Individual
Name: Emoniel Isakharov
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Enumeration Date: Apr 13, 2018
Last Updated: Jul 27, 2021

Practice Location

Address: 19875 SW 65TH AVE STE 100
City: Tualatin
State: Oregon
ZIP Code: 97062-8353
Phone: (503) 692-7785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Internal Medicine	207R00000X	Primary

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