Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emoniel Isakharov

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649777863

Emoniel Isakharov is an Internal Medicine in Tualatin, Oregon. Graduated from University of Washington School of Medicine in 2018, 8 years ago. Practices with Legacy Meridian Park Hospital, a 110-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
8
Trained at
University of Washington School of Medicine
Licensed in
OR
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

19875 SW 65th Ave Ste 100
Tualatin, OR 97062-8353
Phone: (503) 692-7785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD204965 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649777863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2018
Last updated in NPPESJuly 27, 2021
Certification dateJune 30, 2021
Mailing addressPo Box 6689, Portland, OR 97228-6689

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Legacy Meridian Park Hospital — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Tualatin