Individual
MICHAELANN LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
210 SE 136TH AVE, VANCOUVER, WA 98684-6930
(360) 944-9889
(360) 944-9686
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
(360) 597-1313
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
OP00002138
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8462012
—
WA
Enumeration date
08/31/2006
Last updated
05/16/2024
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