Individual
MARISA ADLESICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
(971) 371-5230
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
(360) 597-1313
(360) 597-1413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2314
NE
363A00000X
Physician Assistant
PA.0006105
CO
363A00000X
Physician Assistant
Primary
PA203098
OR
Other
Enumeration date
01/11/2019
Last updated
03/05/2026
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