Individual
MS. LISA A BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
1040 NW 22ND AVE, SUITE 520, PORTLAND, OR 97210-3057
(503) 413-7557
(503) 413-8241
Mailing address
1040 NW 22ND AVE STE 520, PORTLAND, OR 97210-3097
(503) 413-7557
(503) 413-7557
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA01129
OR
Other
Enumeration date
07/31/2006
Last updated
03/16/2018
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