Individual
LINDSY R PALISCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
10215 SW PARKWAY, SUITE D, PORTLAND, OR 97225-5036
(503) 292-3583
(503) 292-1022
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6412
OR
225100000X
Physical Therapist
8682
AZ
225100000X
Physical Therapist
Primary
PT60291169
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164756060
—
WA
05
—
500631337
—
OR
01
—
P01343769
RR MEDICARE
WA
Enumeration date
09/24/2009
Last updated
09/18/2014
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