Healthcare Provider Details

I. General information

NPI: 1669253233
Provider Name (Legal Business Name): DONNA ISABELLA ZUCCO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2023
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7555 SW HERMOSO WAY STE 120
TIGARD OR
97223-8684
US

IV. Provider business mailing address

1685 SE UMATILLA ST APT 108
PORTLAND OR
97202-7242
US

V. Phone/Fax

Practice location:
  • Phone: 775-997-8278
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: