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

Dr. Lisa Ann Mazzocut Siino, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245684489

Dr. Lisa Ann Mazzocut Siino, DO is a Student in an Organized Health Care Education/Training Program in Gladstone, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

15 82nd Dr Ste 100
Gladstone, OR 97027-2550
Phone: (510) 316-4255
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 University Pkwy, Yakima, WA 98901-9539 — (510) 316-4255

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence DO211433 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1245684489
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 13, 2016
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

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