Provider Demographics
NPI:1295994739
Name:OISHI, MARISA LEIKO (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MARISA
Middle Name:LEIKO
Last Name:OISHI
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:522 MANDEVILLA DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5563
Mailing Address - Country:US
Mailing Address - Phone:503-358-5156
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:BOX 1149
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6500
Practice Address - Country:US
Practice Address - Phone:212-241-0763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA207P00000X
CAA134104207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine