Individual
MORGAN MELLISANDE LISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6355 NE CORNELL RD STE 100, HILLSBORO, OR 97124-5434
(503) 597-3130
(503) 597-3140
Mailing address
6355 NE CORNELL RD STE 100, HILLSBORO, OR 97124-5434
(503) 597-3130
(503) 597-3140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
52984
TN
207Q00000X
Family Medicine Physician
Primary
MD196628
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003181727A
—
GA
05
—
05624779
—
MS
05
—
1134412794
—
MO
05
—
184972
—
AL
05
—
212922001
—
AR
05
—
Q019173
—
TN
Enumeration date
05/16/2011
Last updated
02/21/2020
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