Isaacson, Terry

Isaacson, Terry is an sole proprietor health care provider with primary practice located at 1299 Nw Ellan St Ste 3 , Roseburg OR 97470-2031. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Isaacson, Terry can be contacted via phone (541) 957-1290.

Contact Information

Primary practice address
1299 Nw Ellan St Ste 3 Roseburg OR 97470-2031
Phone: (541) 957-1290
Fax: (541) 957-1298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0814 Oregon
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0814 Oregon
Behavioral Health & Social Service Providers / Counseling 103TC1900X 0814 Oregon
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 0814 Oregon

Profile Details

NPI number 1689665937
LBN Legal business name Isaacson, Terry
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Jun 16th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689665937 NPPES
Oregon Other 803779000 REGENCE BCBSO PROV NO

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