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Dr. Lisa Ann Mazzocut Siino, DO
Neuromusculoskeletal Medicine & OMM Physician in Gladstone, Oregon
NPI 1245684489

Lisa Ann Mazzocut Siino is a Neuromusculoskeletal Medicine & OMM Physician based in Yakima, OR. Lisa Ann Mazzocut Siino practices in Gladstone, OR and has the professional credentials of DO. The NPI Number for Lisa Ann Mazzocut Siino is 1245684489 and holds a License No. (Oregon).

The current practice location address for Lisa Ann Mazzocut Siino is 15 82Nd Dr Ste 100, Gladstone, OR and can be reached out via phone at 510-316-4255. You can also correspond with Lisa Ann Mazzocut Siino through the mailing address at 1801 W CHESTNUT AVE, YAKIMA, WA - 98902-3805 (mailing address contact number: 510-316-4255).

Location: 15 82Nd Dr Ste 100, Gladstone, OR, 98902-3805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245684489
Provider Name
Lisa Ann Mazzocut Siino
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
15 82Nd Dr Ste 100, Gladstone, OR, 98902-3805
Phone Number
510-316-4255
Fax Number
Provider Enumeration Date
04/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 82Nd Dr Ste 100
City
Gladstone
State
Oregon
Zip
97027-2550
Phone Number
510-316-4255
Fax Number
person
Provider Business Mailing Address Details
Address
15 82Nd Dr Ste 100
City
Gladstone
State
Oregon
Zip
97027-2550
Phone Number
510-316-4255
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine & OMM
Speciality
-
Taxonomy
204D00000X
License No.
DO211433 (Oregon)
Definition
The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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