Individual
ERIK D GEISSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7809 NE VANCOUVER PLAZA DR STE 110, VANCOUVER, WA 98662
(360) 882-2778
(360) 604-1728
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
(360) 604-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD28373
OR
207R00000X
Internal Medicine Physician
Primary
MD60599738
WA
2083C0008X
Clinical Informatics Physician
MD60599738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005426
—
WA
05
—
500606888
—
OR
Enumeration date
08/06/2007
Last updated
01/21/2019
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