Individual
MICHAEL SISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(503) 381-1776
Mailing address
6866 N SEDRO ST, PORTLAND, OR 97203
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
18285
OR
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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