NPI 1245684489

Lisa Ann Mazzocut Siino, DO

Practitioner Neuromusculoskeletal Medicine & OMM Physician Gladstone, OR

Practice location

Address: 15 82nd Dr STE 100, Gladstone, OR 97027-2550
Phone: (510) 316-4255
Mailing address: 1801 W Chestnut Ave, Yakima, WA 98902-3805

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence DO211433 (OR)

Other Neuromusculoskeletal Medicine & OMM providers in Oregon →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1245684489
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2016
Record last updated: 17 Jan 2023

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.