| Doctor Name: | MS. MARLENE DISSETTE |
| NPI Number: | 1093820698 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP, WHCNP |
| License Number: | 200650009NP |
| Business Practice Address: | 3015 Ne West Devils Lake Rd Lincoln City, OR - 973675131 |
| Business Phone Number: | 5419948911 |
| Business Fax Number: | |
| Mailing Address: | 3015 Ne West Devils Lake Rd, LINCOLN CITY |
| State: | OR |
| Postal Code: | 973675131 |
| Phone Number: | 5419948911 |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2006 |
| NPI Last Update Date: | 10/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 200650009NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |