Individual
DR. LISA LOUISE MCCLUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9555 SW BARNES RD, STE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 297-3096
Mailing address
9555 SW BARNES RD, STE 150, PORTLAND, OR 97225-6663
(503) 297-7403
(503) 297-3096
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD21717
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018856
—
WA
05
—
134018
—
OR
Enumeration date
05/24/2005
Last updated
12/22/2011
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