DR. Charisse Nisce Siapno, M.D.

NPI #1720219520 in Phoenix, Oregon

Provider Information

NPI Number: 1720219520
Entity Type: Individual
Name: DR. Charisse Nisce Siapno, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jul 28, 2009
Last Updated: Nov 5, 2015

Practice Location

Address: 205 FERN VALLEY RD STE A
City: Phoenix
State: Oregon
ZIP Code: 97535-9100
Phone: (541) 535-1274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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