Individual
MARTHA PATRICE GEISHEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 97223-0803
(503) 216-9200
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
091000518N3
OR
363LW0102X
Women's Health Nurse Practitioner
091000518N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275012
—
OR
Enumeration date
10/27/2006
Last updated
02/12/2021
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