Organization
JAMES E. LISLE DPM LLC
Active
Other names
Cascade Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E LISLE DPM (SOLE MEMBER / PODIATRIST)
(503) 588-8188
Entity
Organization
Contact information
Practice address
3474 LIBERTY RD S, SALEM, OR 97302-4607
(503) 588-8188
(503) 588-0884
Mailing address
3474 LIBERTY RD S, SALEM, OR 97302-4607
(503) 588-8188
(503) 588-0884
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
DP00130
OR
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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