Individual
LISA ANN RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
875 OAK ST SE STE 5030, SALEM, OR 97301
(503) 814-4480
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23663
NE
207V00000X
Obstetrics & Gynecology Physician
Primary
MD152081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500626635
—
OR
Enumeration date
05/11/2006
Last updated
12/20/2018
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