Individual
MRS. LISA MICHELE MCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7725
Mailing address
3736 SE CORA ST, PORTLAND, OR 97202-3238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201260006CRNA
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/18/2009
Last updated
07/25/2014
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