Most Relevant Information
Provider Data
| NPI Number: | 1003572165 |
| Provider Name: | ISABEL GRUSKA MCCUNE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/12/2021 |
| Last Updated: | 01/15/2024 |
Provider Practice Location
5741 NE GLISAN ST STE 2
PORTLAND
OR
972133793
Practice Location Phone/Fax
| Phone: | 9714126424 |
| Fax: | 8444402415 |
Provider Mailing Location
5741 NE GLISAN ST STE 2
PORTLAND
OR
972133793
Provider Mailing Phone/Fax
| Phone: | 9714126424 |
| Fax: | 8444402415 |