NPI 1003382169
Devin Alex Lisdero
Practice location
- Address
- 422 NE 5th St, McMinnville, OR 97128-4604
- Phone
- (503) 472-4020
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003382169
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Oct 2018
- Record last updated
- 16 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.