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Ernest Eugene Lissy, FNP
Family Nurse Practitioner in Stayton, Oregon
NPI 1013998475

Ernest Eugene Lissy is a Family Nurse Practitioner based in Stayton, OR and is specialized in Family. Ernest Eugene Lissy practices in Stayton, OR and has the professional credentials of FNP. The NPI Number for Ernest Eugene Lissy is 1013998475 and holds a License No. 200450135NP FNP-PP (Oregon).

The current practice location address for Ernest Eugene Lissy is 1375 N 10Th Ave, Stayton, OR and can be reached out via phone at 503-769-2641 and via fax at 503-769-3797.

Location: 1375 N 10Th Ave, Stayton, OR, 97383-2099
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013998475
Provider Name
Ernest Eugene Lissy
Credential
FNP
Provider Entity Type
Individual
Gender
Male
Address
1375 N 10Th Ave, Stayton, OR, 97383-2099
Phone Number
503-769-2641
Fax Number
503-769-3797
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1375 N 10Th Ave
City
Stayton
State
Oregon
Zip
97383-2099
Phone Number
503-769-2641
Fax Number
503-769-3797
person
Provider Business Mailing Address Details
Address
1375 N 10Th Ave
City
Stayton
State
Oregon
Zip
97383-2099
Phone Number
503-769-2641
Fax Number
503-769-3797
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
200450135NP FNP-PP (Oregon)
Definition
Definition to come...
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