Dr. Charisse Nisce Siapno, MD
Dr. Charisse Nisce Siapno, MD is an Internal Medicine in Phoenix, Oregon. Qualified in 2007, 19 years ago. Practices with Providence Health and Services Oregon, a 164-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio and Oregon.
- Years since qualifying
- 19
- Licensed in
- OH, OR
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
205 Fern Valley Rd Ste APhoenix, OR 97535-9100
Phone: (541) 535-1274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD171548 (OR) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 099202 (OH) |
Record details
| NPI number | 1720219520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 28, 2009 |
| Last updated in NPPES | November 5, 2015 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Providence Health And Services Oregon — 164 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |