| Doctor Name: | MRS. LISA JOY KENDALL |
| NPI Number: | 1245291756 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 0940064921N1FNPPP |
| Business Practice Address: | 2615 6th St Tillamook, OR - 971414114 |
| Business Phone Number: | 5038423975 |
| Business Fax Number: | |
| Mailing Address: | 2615 6th St, TILLAMOOK |
| State: | OR |
| Postal Code: | 971414114 |
| Phone Number: | 5038423975 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2006 |
| NPI Last Update Date: | 10/04/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0940064921N1FNPPP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |