Individual provider · Type 1 NPI

Isaiah Fabian De Alba

Student in an Organized Health Care Education/Training Program · Beaverton, OR

NPI number 1649138199 Active

Practice location

4900 SW Griffith Dr Ste 157
Beaverton, OR 97005-2977

Call (503) 444-8230 Map

Fax (503) 295-4036

Mailing address

12390 NW Barnes Rd Apt 281
Portland, OR 97229-6048

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649138199

Isaiah Fabian De Alba's National Provider Identifier is 1649138199, issued on Jan 13, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Beaverton, OR. The record was last updated on Jan 13, 2026.