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JAMES E. LISLE NPI 1073785648


NPI Information

NPI: 1073785648
Provider Name: JAMES E. LISLE

Doing Business As: CASCADE FOOT CENTER

Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
3474 LIBERTY RD S
SALEM, OR
ZIP 97302
Phone: (503) 588-8188
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JAMES E. LISLE is a primary podiatric medicine podiatrist in Salem, OR. JAMES E. LISLE NPI is 1073785648. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cascade Foot Center.

The provider's business location address is:

3474 LIBERTY RD S
SALEM, OR
ZIP 97302-607
Phone: (503) 588-8188
Fax: (503) 588-0884

The provider's authorized official is Debbie Ann Mayne .
The authorized official title is Office Manager and has the following contact phone number (503) 588-8188.

The enumeration date for this NPI number is 3/24/2008 and was last updated on 4/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213EP1101XPodiatristPrimary Podiatric MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T67855MEDICARE UPINOREGON
2268243MEDICAIDOREGON
30719520001MEDICARE NSCOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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