Individual provider · NPI-1
Dr. Lisa Kroonen Aebi, M.D.
Family Medicine · Hillsboro, OR
NPI number1699888453
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1699888453
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lisa Kroonen Aebi
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD21312 | OR | Yes |
Other names
- Lisa Marie Kroonen (Former Name)
Practice location
19400 Nw Evergreen PkwyHillsboro, OR 97124-7031
Phone 503-617-2345
Mailing address
19400 Nw Evergreen PkwyHillsboro, OR 97124-7031
Phone 503-645-2762
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