Individual
DR. JAMES V. SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7247
Mailing address
1218 SE REX ST, PORTLAND, OR 97202-5940
(503) 233-1675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97132
OR
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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