Schlegel, Lisa
Schlegel, Lisa is an individual health care provider with primary practice located at 1175 Mount Hood Ave , Woodburn OR 97071-9060. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Schlegel, Lisa can be contacted via phone (503) 982-2000.Contact Information
Primary practice address
1175 Mount Hood Ave
Woodburn OR 97071-9060
Phone: (503) 982-2000
Fax: (503) 982-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201392419NP-PP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 201392419NP-PP | Oregon |
Profile Details
| NPI number | 1053715326 |
|---|---|
| LBN Legal business name | Schlegel, Lisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2014 |
| Last updated | Mar 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053715326 | NPPES |
| Oregon | Other | R178016 | MEDICARE PTAN |
| Oregon | Other | R178015 | MEDICARE PTAN |
| Oregon | MEDICAID | 1053715326 | MEDICARE PTAN |
| Oregon | MEDICAID | 500679382 | MEDICARE PTAN |
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