Andrew Lisitsky

NPI #1104887587 in Beaverton, Oregon

Provider Information

NPI Number: 1104887587
Entity Type: Individual
Name: Andrew Lisitsky
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 28, 2006
Last Updated: Dec 4, 2024

Practice Location

Address: 17885 NE EVERGREEN PARKWAY
Address 2: STE 220
City: Beaverton
State: Oregon
ZIP Code: 97006
Phone: (503) 571-3366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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