Individual ProviderIsaac IrbyCounselorBehavioral Health & Social Service ProvidersPractice Address1021 W 9th St, The Dalles, OR 97058-1007(541) 298-1920(575) 808-1326PECOS EnrollmentBased on the most recent information from CMS, provider Isaac Irby does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1346608502Provider TypeIndividualFull NameIrby, IsaacGenderMaleSole ProprietorNoEnumeration Date2/3/2016Last Updated2/3/2016Contact InformationPractice LocationPractice Address1021 W 9th St, The Dalles, OR 97058-1007Phone(541) 298-1920Fax(541) 298-1917Mailing LocationMailing Address3587 Heathrow Way, Medford, OR 97504-4004Phone(575) 808-1326FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer