Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALD T. LISAC, M.D.
Active Sole ProprietorDR. GERALD T. LISAC, M.D. is a Specialist healthcare provider located in WEST LINN, Oregon. NPI 1003950684 is currently active in the NPPES registry. Verify at CMS.
Specialist · WEST LINN, OR
Registration Details
- NPI Number
- 1003950684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 16, 2007 (19.466051925559 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD06539 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
276 SW FOREST COVE RDWEST LINN, OR, 970689401Browse OR providers · Browse ZIP 97068
- Phone
- 5035573679
- Fax
- 5035573680
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in WEST LINN, OR
| Name | Credential | NPI |
|---|---|---|
| DR. KARL OTTO WUSTRACK | M.D. | 1760415368 |
| ERIC WILLIAM LONG | MD | 1972688521 |
| JAMIE LYNN WOODLEY | LMT | 1780805317 |
| FRANK M GRUNER | FRANK GRUNER | 1114122124 |
| TIANNA RENEE MARTINEZ | LMT | 1528222056 |
| LINDA PHAM | L.M.T. | 1508003450 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.