Provider Demographics
NPI:1427608470
Name:GIVENS, ISABELLA GIROUX PRIBYL (CNM)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:GIROUX PRIBYL
Last Name:GIVENS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ISABELLA
Other - Middle Name:GIROUX
Other - Last Name:PRIBYL DODDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:503-215-6494
Mailing Address - Fax:
Practice Address - Street 1:9155 SW BARNES RD STE 730
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6634
Practice Address - Country:US
Practice Address - Phone:503-216-4033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR202007710NP-PP367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife