Healthcare Provider Details

I. General information

NPI: 1881489292
Provider Name (Legal Business Name): LUZ ISABEL BARRAGAN-ISIDORO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 E 11TH AVE
EUGENE OR
97401-3247
US

IV. Provider business mailing address

29774 WILLOW CREEK RD APT 635
EUGENE OR
97402-9176
US

V. Phone/Fax

Practice location:
  • Phone: 541-484-4428
  • Fax:
Mailing address:
  • Phone: 442-234-4804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: