Individual
LISA MARIE CARMONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2875 NE STUCKI AVE, HILLSBORO, OR 97124-5806
(800) 813-2000
Mailing address
2875 NE STUCKI AVE MEDICAL SURG 2, HILLSBORO, OR 97124-5806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07250002
OR
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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