ERNEST EUGENE LISSY

STAYTON, OR
NPI1013998475
Professional NameGENE E LISSY
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  200450135NP FNP-PP)
Enumeration Date2005-11-10
Last Update Date2012-01-05
Business Address
-- ERNEST EUGENE LISSY FNP
1375 N 10TH AVE
STAYTON, OR 97383-2099
Phone number: 503-769-2641
Mailing Address
-- ERNEST EUGENE LISSY FNP
1375 N 10TH AVE
STAYTON, OR 97383-2099
Phone number: 503-769-2641
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