Individual
MRS. LISA L. ROESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 411, MOB 1, PORTLAND, OR 97210
(503) 413-5702
(503) 413-6499
Mailing address
2222 NW LOVEJOY ST, SUITE 411, MOB 1, PORTLAND, OR 97210
(503) 413-5702
(503) 413-6499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200650023NP
OR
Other
Enumeration date
06/03/2006
Last updated
12/17/2009
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