Individual provider · Type 1 NPI

Lisa Wall, NP

Family Nurse Practitioner · Clackamas, OR

NPI number 1699255109 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

51654 SE 6th St
Scappoose, OR 97056-4504

Other practice locations

  • 2875 NE Stucki Ave, Hillsboro, OR 97124-5806 · (971) 310-1000

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705X201240001 (OR)
Family Nurse Practitioner Primary 363LF0000X201907739NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1699255109

Lisa Wall, NP's National Provider Identifier is 1699255109, issued on Aug 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clackamas, OR. The record was last updated on Nov 27, 2023.