Healthcare Provider Details

I. General information

NPI: 1962897520
Provider Name (Legal Business Name): MARIA CRISTINA ISALES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2815 EASTLAKE AVE E STE 240
SEATTLE WA
98102-3086
US

IV. Provider business mailing address

9750 SW NIMBUS AVE
BEAVERTON OR
97008-7172
US

V. Phone/Fax

Practice location:
  • Phone: 503-906-7300
  • Fax:
Mailing address:
  • Phone: 503-906-7300
  • Fax: 503-245-8219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberA160479
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA160479
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: