OrganizationActive
Kirsten Isakson, Lac
NPI 1780191924 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1780191924
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kirsten Waters, Owner(503) 544-5922
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3932 Se 149th Ave
Portland, OR 97236-2420
Phone: (503) 544-5922
Street-level locationGet directions
Mailing address
3932 Se 149th Ave
Portland, OR 97236-2420
Registry dates
- Enumerated
- 2018-01-09
- Last updated
- 2025-10-24
- Certified
- 2025-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.