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Individual

LISA SCHLEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201392419NP-PP
OR
363LF0000X
Family Nurse Practitioner
201392419NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053715326
WA
05
500679382
OR
01
R178015
MEDICARE PTAN
OR
01
R178016
MEDICARE PTAN
OR
Enumeration date
10/15/2014
Last updated
03/22/2021
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