IndividualActive
Gerald Lisac, M.D.
NPI 1003950684 · Specialist · West Linn, OR
Gerald Lisac, M.D. is a Specialist provider in West Linn, OR (NPI 1003950684).
Provider details
- NPI number
- 1003950684
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD06539 (OR)
Practice location
276 Sw Forest Cove Rd
West Linn, OR 97068-9401
Phone: (503) 557-3679
Fax: (503) 557-3680
Street-level locationGet directions
Mailing address
Po Box 646
West Linn, OR 97068-0646
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.