Individual
ALISA PALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, CCM, CNLCP
Contact information
Practice address
1325 NW FRAZIER COURT, PORTLAND, OR 97229-8489
(503) 704-7019
(503) 296-8529
Mailing address
1325 NW FRAZIER COURT, PORTLAND, OR 97229-8489
(503) 704-7019
(503) 296-8529
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
0970000215RN
OR
163WC1500X
Community Health Registered Nurse
Primary
0970000215RN
OR
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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