Provider Demographics
NPI:1023263779
Name:ISAZA-CHAPMAN, MARIACRISTINA (MA LPC)
Entity type:Individual
Prefix:MRS
First Name:MARIACRISTINA
Middle Name:
Last Name:ISAZA-CHAPMAN
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16360 SW CINNABAR CT
Mailing Address - Street 2:BEAVERTON
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8101
Mailing Address - Country:US
Mailing Address - Phone:971-226-7155
Mailing Address - Fax:
Practice Address - Street 1:12250 SW 2ND ST
Practice Address - Street 2:SUITE 106
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-2828
Practice Address - Country:US
Practice Address - Phone:971-226-7155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC2193101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional