LISA NELSON (NPI# 1609240902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609240902 |
| Entity Type | Individual |
| Full Name | LISA NELSON |
| Practice Address |
727 W Burnside St Portland OR 97209-3514 |
| Mailing Address |
232 Nw 6th Ave Portland OR 97209-3609 |
| Practice Telephone | 5032284533 |
| Mailing Telephone | 5032941681 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 00012310 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164954939 | Lisa Renee Nelson | Social Worker | 5353 W Dartmouth Ave Ste 203, Denver, CO 80227-5516 | 2017-03-31 |
| 1457798977 | Lisa Marie Nelson | Counselor | 5910 Clark Road Suite 179, Paradise, CA 95969 | 2013-05-23 |
| 1174812036 | Lisa Nelson | Behavioral Analyst | 364 Ridge Rd., Yakutat, AK 99689 | 2011-03-31 |
| 1881834992 | Lisa J Nelson | Pediatrics | 2330 Maputo Pl, Dulles, VA 20189-2330 | 2009-03-02 |
| 1174705982 | Lisa Ann Nelson | Registered Nurse | Putnam Hall, Stony Brook, NY 11790 | 2007-12-04 |
| 1386765782 | Lisa Marie Nelson | Massage Therapist | 115 E Monroe St, Mount Pleasant, IA 52641-1900 | 2007-04-03 |
| 1275687667 | Lisa Nelson | Speech-Language Pathologist | 1538 Merit Ln, Liberty, MO 64068-2098 | 2007-01-22 |
| 1558448860 | Lisa T Nelson | Physician Assistant | 13322 Conant St, Detroit, MI 48212-2338 | 2006-11-01 |
| 1780762740 | Lisa C Nelson | Speech-Language Pathologist | 3600 Saunders Ave., Richmond, VA 23227-4347 | 2006-11-01 |
| 1073616306 | Lisa Lynn Nelson | Speech-Language Pathologist | 100 Sunrise Meadow Road, Box 52, Mule Creek, NM 88051-0052 | 2006-09-05 |
| Street Address |
727 W BURNSIDE ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568410538 | David Nigel Adler IIi | Acupuncturist | 727 W Burnside St, Portland, OR 97209-3514 | 2006-05-04 |
| 1053973107 | Barbara Jean Cordova Ayala | Licensed Practical Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2019-06-28 |
| 1386200186 | Ronnie Lee Pickering | Student in an Organized Health Care Education/Training Program | 727 W Burnside St, Portland, OR 97209-3514 | 2019-05-16 |
| 1790254944 | Carissa Angela Marston | Physician Assistant | 727 W Burnside St, Portland, OR 97209-3514 | 2018-11-16 |
| 1518447119 | Amanda Nicole Cantu | Licensed Practical Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2018-08-14 |
| 1194204552 | Livian Marie Rand | Acupuncturist | 727 W Burnside St, Portland, OR 97209-3514 | 2018-08-07 |
| 1508366733 | Jason Sheffey | Peer Specialist | 727 W Burnside St, Portland, OR 97209-3514 | 2018-02-14 |
| 1528566445 | Mathew Reichardt | Counselor | 727 W Burnside St, Portland, OR 97209-3514 | 2018-01-25 |
| 1639681638 | Julie Cha Beert | Pharmacist | 727 W Burnside St, Portland, OR 97209-3514 | 2017-10-30 |
| 1821500117 | Kimberly Marie Hutchinson | Registered Nurse | 727 W Burnside St, Portland, OR 97209-3514 | 2017-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460371 | Samantha Nozomi Murata | Pharmacist | 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 | 2020-09-08 |
| 1053923920 | Hoang Lan Ngoc Doan | Pharmacist | 4201 Ne 129th Pl, Portland, OR 97230-1405 | 2020-08-20 |
| 1528677531 | Mi Pham | Pharmacist | 5824 Se 134th Pl, Portland, OR 97236-2987 | 2020-07-26 |
| 1700407350 | Emad Banoub | Pharmacist | 1105 Hyw 181, Portland, TX 78374 | 2020-05-05 |
| 1255951471 | Nam Lai | Pharmacist | 2655 Se 50th Ave Apt 415, Portland, OR 97206-1577 | 2020-04-17 |
| 1275167439 | Mayasah Anas Sedeeq Al Bazzaz | Pharmacist | 15122 Nw Fig Ln, Portland, OR 97229-6986 | 2020-02-26 |
| 1427696632 | Thai Tran | Pharmacist | 7901 Se Powell Blvd, Portland, OR 97206-2314 | 2019-12-18 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1952966970 | Linda P. Pham | Pharmacist | 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 | 2019-05-06 |
| Find all providers in PORTLAND | ||||
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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.