LISA MARIE STORM

PORTLAND, OR
NPI1417148529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  087000379NI)
Enumeration Date2007-08-05
Last Update Date2007-08-05
Business Address
-- LISA MARIE STORM FNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3056
Mailing Address
-- LISA MARIE STORM FNP
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3056