JUSTINE LISELLA MPA-C NPI 1740669266

NPI Information

NPI: 1740669266
Provider Name: JUSTINE LISELLA, MPA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
525 N COLUMBIA RIVER HWY
SAINT HELENS, OR
ZIP 97051
Phone: (503) 366-6244
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Justine Lisella, MPA-C is a medical physician assistant in Saint Helens, OR. Justine Lisella, MPA-C NPI is 1740669266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 N COLUMBIA RIVER HWY
SAINT HELENS, OR
ZIP 97051-226
Phone: (503) 366-6244

The NPI 1740669266 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2015 and was last updated on 5/29/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA172389	OREGON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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