Individual provider · Type 1 NPI

Gerald T. Lisac, MD

Specialist · West Linn, OR

NPI number 1003950684 Active

Practice location

276 SW Forest Cove Rd
West Linn, OR 97068-9401

Call (503) 557-3679 Map

Fax (503) 557-3680

Mailing address

PO Box 646
West Linn, OR 97068-0646

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD06539 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003950684

Gerald T. Lisac, MD's National Provider Identifier is 1003950684, issued on Feb 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Linn, OR. The record was last updated on Jul 8, 2007.