Individual
DR. SYDMARIE BISENIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
24850 SE STARK ST STE 150, GRESHAM, OR 97030-8318
(503) 491-0714
Mailing address
24850 SE STARK ST STE 150, GRESHAM, OR 97030-8318
(503) 491-0714
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ND2029
OR
Other
Enumeration date
12/05/2013
Last updated
07/21/2022
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