MRS. LISA ANN BURNELL


Address: 134 Se 5th Ave, Suite C, Hillsboro, OR 97123-4095
Phone: 5036218735

MRS. LISA ANN BURNELL (NPI# 1457505117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457505117
Entity Type Individual
Full Name MRS. LISA ANN BURNELL
Credential MED, CADCII,CSAC INT
Practice Address 134 Se 5th Ave
Suite C
Hillsboro
OR 97123-4095
Practice Telephone 5036218735
Practice Fax Number 5036485269
Mailing Telephone 5036218735
Mailing Fax Number 5036485269
Enumeration Date 2008-11-07
Last Update Date 2019-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
02-R-13 OR Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR 278095 05
HI HALE KIPA 1164627246 01
OR INNER JOURNEY HEALING ARTS CENTER 1457404410 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
622 Hinano St, Hilo, HI 967204427 8085891829 8085892610

Office Location

Street Address 134 SE 5TH AVE
SUITE C
City HILLSBORO
State OR
Zip Code 97123-4095

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255882841 Monica Jackson Community Health Worker 134 Se 5th Ave, Suite C, Hillsboro, OR 97123-4095 2016-10-18
1992159644 Erik Dee Fullmer Community Health Worker 134 Se 5th Ave, Suite C, Hillsboro, OR 97123-4095 2016-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851916241 Gabriel Lawrence Physical Therapist 2973 Se 79th Ave., Hillsboro, OR 97123 2020-06-11
1487278453 Jordan Gregory Evans Student in an Organized Health Care Education/Training Program Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 2020-06-04
1124641006 Jessica Anne Bramlett Student in an Organized Health Care Education/Training Program 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 2020-05-26
1003448168 Madelyn Vogt Community Health Worker 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 2020-02-06
1215435789 Renise Harrel Massage Therapist 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 2018-01-30
1497260269 Amy Hodges Counselor 222 Se 8th Ave # 212, Hillsboro, OR 97123 2017-12-02
1033623723 Tamira L Heyob Doula 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 2017-11-17
1134644024 Tara Kyoko Taylor Massage Therapist 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 2017-08-11
1023543055 Austin Simpson Counselor 222 Se 8th, Suite 222, Hillsboro, OR 97123 2017-04-27
1124569769 Emergency Tooth Doctor Hillsboro, Prof. Corp. Dentist 752 Se Oak St, Hillsboro, OR 97123 2017-03-15
Find all providers in zip 97123

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720603335 Benetta Vincent Counselor 3194 Se Tumblestone Dr, Hillsboro, OR 97123-7966 2020-06-09
1972149243 Jason Grove Counselor 466 S Elm St, Hillsboro, OH 45133-1360 2019-11-21
1932740545 Chelsea Marie Traylor Counselor 231 E South St Apt A, Hillsboro, OH 45133-1629 2019-10-04
1114572831 Dustin James Davis Counselor 4660 Ne Belknap Ct Ste 101h, Hillsboro, OR 97124-8403 2019-08-08
1407390966 Bernadette Ramirez Counselor 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 2016-12-16
1184172702 Malcolm Ross Patton Counselor 1500 Ne Arrowwood St, Hillsboro, OR 97124-2624 2016-09-12
1053782938 Charles Henry Reynolds Sr. Counselor 504 Ne 18th Ave, Hillsboro, OR 97124-3508 2015-10-16
1649673914 Rick Johnson Counselor 5350 Ne Elam Young Pkwy, Hillsboro, OR 97124-6401 2014-10-01
1134487762 Quentin Vivian Thomas Counselor 3797 Nw 4th Ave, Hillsboro, OR 97124-1610 2012-05-02
1609169655 Cherry S. Hill Counselor 2289 Se 56th Pl, Hillsboro, OR 97123-8111 2011-05-24
Find all providers in HILLSBORO

Competitor

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City HILLSBORO
Zip Code 97123

Improve Information

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Dataset Information

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.

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