Provider Demographics
NPI:1043461189
Name:ISLEMAN, MICHAEL A (ASCP)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:ISLEMAN
Suffix:
Gender:M
Credentials:ASCP
Other - Prefix:MR
Other - First Name:MICHAEL
Other - Middle Name:A
Other - Last Name:ISLEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ASCP
Mailing Address - Street 1:7137 SW SAGERT ST
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8297
Mailing Address - Country:US
Mailing Address - Phone:503-953-3705
Mailing Address - Fax:
Practice Address - Street 1:7137 SW SAGERT ST
Practice Address - Street 2:
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-8297
Practice Address - Country:US
Practice Address - Phone:503-953-3705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other