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Contact Information

LISA A BAILEY, P.A.-C
1040 NW 22ND AVE
SUITE 520
PORTLAND, OR97210-3057
 Phone: 503-413-7557
 Fax: 503-413-8241
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for LISA A BAILEY · (Female)

NPI # 1528074846
Status Active
Credentials P.A.-C
Entity Individual
Enumeration date 07/31/2006
Last updated 03/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA01129
Hospital affiliation(s)
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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