Individual
LISSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
239 NE LINCOLN ST, HILLSBORO, OR 97124-3066
(503) 359-4038
Mailing address
239 NE LINCOLN ST, HILLSBORO, OR 97124-3066
(503) 359-4038
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10268743
OR
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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