Individual
MS. LISA JANE SABALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3784
(541) 768-5300
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
201350008NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500656974
—
OR
Enumeration date
07/12/2011
Last updated
03/23/2026
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