person
Ms. Lisa Wall, NP
Family Nurse Practitioner in Clackamas, Oregon
NPI 1699255109

Lisa Wall is a Family Nurse Practitioner based in Scappoose, OR and is specialized in Family. Lisa Wall practices in Clackamas, OR and has the professional credentials of NP. The NPI Number for Lisa Wall is 1699255109 and holds a License No. 201240001 (Oregon).

The current practice location address for Lisa Wall is 10180 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-652-2880. You can also correspond with Lisa Wall through the mailing address at 51654 SE 6TH ST, SCAPPOOSE, OR - 97056-4504 (mailing address contact number: ).

Location: 10180 Se Sunnyside Rd, Clackamas, OR, 97056-4504
person
Provider Profile Details
NPI Number
1699255109
Provider Name
Lisa Wall
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
10180 Se Sunnyside Rd, Clackamas, OR, 97056-4504
Phone Number
503-652-2880
Fax Number
Provider Enumeration Date
08/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10180 Se Sunnyside Rd
City
State
Zip
97015-8970
Phone Number
503-652-2880
Fax Number
person
Provider Business Mailing Address Details
Address
10180 Se Sunnyside Rd
City
State
Zip
97015-8970
Phone Number
503-652-2880
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
License No.
201907739NP-PP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201240001 (Oregon)
Definition
Definition to come...
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