Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Gerald T. Lisac, MD

Individual provider Specialist · NPI 1003950684

Dr. Gerald T. Lisac, MD is a Specialist in West Linn, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

276 SW Forest Cove Rd
West Linn, OR 97068-9401
Phone: (503) 557-3679
Fax: (503) 557-3680
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Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD06539 (OR)

Record details

NPI number1003950684
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 646, West Linn, OR 97068-0646

Other providers in West Linn