Mccluskey, Lisa Louise

Mccluskey, Lisa Louise is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 150, Portland OR 97225-6663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Mccluskey, Lisa Louise can be contacted via phone (503) 297-7403.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 150 Portland OR 97225-6663
Phone: (503) 297-7403
Fax: (503) 297-3096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD21717 Oregon

Profile Details

NPI number 1780687566
LBN Legal business name Mccluskey, Lisa Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Dec 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780687566 NPPES
Washington MEDICAID 1018856
Washington MEDICAID 134018

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