Ernest Eugene Lissy, FNP

NPI #1013998475 in Stayton, Oregon

Provider Information

NPI Number
1013998475
Entity Type
Individual
Name
Ernest Eugene Lissy, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Nov 10, 2005
Last Updated
Jan 5, 2012

Practice Location

Address
1375 N 10TH AVE
State
Oregon
ZIP Code
97383-2099
Phone
(503) 769-2641

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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