MS. LISA LYNN BURTRAW (NPI# 1033364666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033364666 |
| Entity Type | Individual |
| Full Name | MS. LISA LYNN BURTRAW |
| Credential | L.M.T., C.A. |
| Practice Address |
492 E 13th Ave Suite #200 Eugene OR 97401-4268 |
| Mailing Address |
492 E 13th Ave Suite Number 200 Eugene OR 97401-4268 |
| Practice Telephone | 5413490202 |
| Mailing Telephone | 5413490202 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 5004 | OR | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
492 E 13TH AVE SUITE #200 |
| City | EUGENE |
| State | OR |
| Zip Code | 97401-4268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295815009 | Karyn Lynn Aho | Psychologist | 492 E 13th Ave, Suite 102, Eugene, OR 97401-4268 | 2006-10-16 |
| 1154983765 | Mindful Behavior Support Inc | Specialist | 492 E 13th Ave, Eugene, OR 97401-4268 | 2019-07-03 |
| 1982059606 | Jennifer Jane Wells | Specialist | 492 E 13th Ave, Eugene, OR 97401-4268 | 2016-05-01 |
| 1558721340 | Octarine Therapeutic Mental Health Services | Community/Behavioral Health | 492 E 13th Ave, 209, Eugene, OR 97401-4268 | 2016-03-07 |
| 1538525324 | Laura Fischrup | Occupational Therapist | 492 E 13th Ave, Suite 101, Eugene, OR 97401-4268 | 2016-01-08 |
| 1659649788 | Janice Artzer Hornsby | Social Worker | 492 E 13th Ave, Suite 106, Eugene, OR 97401-4268 | 2011-12-03 |
| 1598079469 | Robin L Grace | Social Worker | 492 E 13th Ave, Ste 203, Eugene, OR 97401-4250 | 2010-08-03 |
| 1649407362 | Leigh Saint-louis Md LLC | Clinic/Center | 492 E 13th Ave, Eugene, OR 97401-4268 | 2009-06-20 |
| 1952554503 | Sally Smith | Counselor | 492 E 13th Ave, Suite 205, Eugene, OR 97401-4268 | 2008-10-28 |
| 1598939605 | Gary Mcnabb | Social Worker | 492 E 13th Ave, Suite 102, Eugene, OR 97401-4268 | 2008-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427681709 | Sarah Voigt | Counselor | 2149 Centennial Plaza Suite #4, Eugene, OR 97401 | 2020-02-14 |
| 1801426242 | Therapeutic Associates, Inc. | Physical Therapist | 760 Charnelton St., Suite 760, Eugene, OR 97401 | 2020-01-24 |
| 1225676232 | Aaron James Barber | Massage Therapist | 1375 Pearl St, Eugene, Or 97401, Eugene, OR 97401 | 2019-12-20 |
| 1851957047 | Altru Home Care LLC | Nursing Care | 1345 Olive St., Eugene, OR 97401 | 2019-05-14 |
| 1881155208 | Herron Jordanna Spence | Speech-Language Pathologist | 385 West 2nd Ave., Eugene, OR 97401 | 2019-03-28 |
| 1750855094 | Brandon Marshall | Counselor | 1158 High St Ste 202, Eugene, OR 97401 | 2019-01-21 |
| 1881172591 | Kayla Nicole O'brien | Nurse Practitioner | Country Club In Eugene, 520 Country Club Road, Eugene, OR 97401 | 2018-08-03 |
| 1962992180 | Shannon Jensen Smyth | Counselor | Va Eugene Downtown Clinic, 211 E. 7th Ave, Eugene, OR 97401 | 2018-05-14 |
| 1902305956 | Christine Noel Gray | Peer Specialist | 499 W. 4th Ave, Eugene, OR 97401 | 2018-02-06 |
| 1821507344 | Anjuli Chitkara | Psychologist | 1679 Willamette Street, Eugene, OR 97401 | 2017-09-27 |
| Find all providers in zip 97401 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306496732 | Grady Paul Bunce | Specialist/Technologist, Other | 2525 Cal Young Rd Fl 3, Eugene, OR 97401-6477 | 2019-09-17 |
| 1801921077 | Elizabeth Rozumalski | Specialist/Technologist, Other | 2727 Leo Harris Pkwy, Eugene, OR 97401-8835 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487143129 | Angelina Lucretia Anderson | Specialist/Technologist, Other | 191 Ne Grand Ave, Portland, OR 97232-2936 | 2018-05-08 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1639525140 | Molly Ballew | Specialist/Technologist, Other | 295 E Main, Suite 10, Ashland, OR 97520-0020 | 2016-05-13 |
| 1114373735 | Ayako Shimba | Specialist/Technologist, Other | 2935 Se 73rd Ave, Hillsboro, OR 97123-6223 | 2016-05-12 |
| 1285091009 | Bryon Willson | Specialist/Technologist, Other | 3350 Sw 198th Ave, Beaverton, OR 97003-2348 | 2016-01-25 |
| 1760856231 | Clifton A. J. Edwards | Specialist/Technologist, Other | 3347 Ne 164th Loop, Portland, OR 97230-5063 | 2015-11-21 |
| 1497183362 | Faith Tavares Pinkerton | Specialist/Technologist, Other | 61383 Hwy 97, Suite B, Bend, OR 97702-2597 | 2013-10-31 |
| 1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
| 1285861609 | Maruska Lynch | Specialist/Technologist, Other | 12395 Se Oatfield Rd, Milwaukie, OR 97222-6954 | 2009-06-11 |
| 1942454400 | Valerie Jane Hefner | Specialist/Technologist, Other | 1949 Ne Lotus Dr, Bend, OR 97701-6127 | 2008-11-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.