DALE RICHARD ISAAK

NEWBERG, OR
NPI1669517900
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246Z00000X Specialist/Technologist, Other
(Licence: OR  AT-AT-198544)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
DALE RICHARD ISAAK ATC
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2916
Mailing Address
DALE RICHARD ISAAK ATC
414 N MERIDIAN ST
NEWBERG, OR 97132-2697
Phone number: 503-554-2916