LISA ANDERSEN (NPI# 1730484312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730484312 |
| Entity Type | Individual |
| Full Name | LISA ANDERSEN |
| Practice Address |
5050 Ne Hoyt St Ste 138 Portland OR 97213-2955 |
| Practice Telephone | 5032381062 |
| Practice Fax Number | 5032331588 |
| Mailing Telephone | 5032381062 |
| Mailing Fax Number | 5032331588 |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2014-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA160150 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811480288 | Lisa D Andersen | Licensed Practical Nurse | 402 New York Ave, Dowagiac, MI 49047-1772 | 2018-06-11 |
| 1225389117 | Lisa M Andersen | Physician Assistant | 1441 Avacado Ave, 503, Newport Beach, CA 92660-7706 | 2012-10-02 |
| 1689017410 | Lisa Ann Andersen | Anesthesiology | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2013-04-11 |
| 1528213162 | Lisa Andersen | Physical Therapist | 1983 Marcus Ave, New Hyde Park, NY 11042-1016 | 2008-11-24 |
| 1093922304 | Lisa Kathleen Andersen | Physical Therapist | 450 W Il Route 22, Barrington, IL 60010-7509 | 2007-05-17 |
| 1699853556 | Lisa Marie Andersen | Occupational Therapist | 5401 South St, Lincoln, NE 68506-2150 | 2006-11-01 |
| Street Address |
5050 NE HOYT ST STE 138 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306921978 | John J O'shea | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955 | 2006-10-25 |
| 1407178676 | John J Oshea, Md, LLC | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955 | 2010-02-15 |
| 1508901216 | Richard A Rubinstein, Jr, Md | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955 | 2007-02-20 |
| 1508928714 | Mark C Davis | Physician Assistant | 5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955 | 2006-12-14 |
| 1235291576 | Richard A Rubinstein Jr. | Orthopaedic Surgery | 5050 Ne Hoyt St Ste 138, Portland, OR 97213-2955 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1396250122 | Saron Theresa Sufuentes | Physician Assistant | 578 Nw Marlborough Ave, Portland, OR 97210-3104 | 2017-12-01 |
| 1952775520 | Lauren Govier | Physician Assistant | 501 N Graham St Ste 415, Portland, OR 97227-2006 | 2015-11-19 |
| 1619346368 | Ryan Mcmahon | Physician Assistant | 3415 Ne 20th Ave, Portland, OR 97212-2416 | 2015-09-23 |
| 1881090033 | Sanja Bukarac | Physician Assistant | 20 Buca Run, Portland, ME 04103-1427 | 2014-11-17 |
| 1194130716 | Nicole Lessard | Physician Assistant | 27 Bramhall St, Portland, ME 04102 | 2014-06-23 |
| 1528499910 | Elan Kennedy | Physician Assistant | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Ohsu, Division of Cardiothoracic Surgery, Portland, OR 97239 | 2013-12-10 |
| 1013161405 | Lorraine Walburga Gohman | Physician Assistant | 9155 Sw Barnes Rd Ste 440, Portland, OR 97225-6631 | 2008-11-11 |
| 1841472065 | Mandy Melissa Williams | Physician Assistant | 265 N Broadway, Portland, OR 97227-1800 | 2007-11-29 |
| 1063612455 | Donald R Noel | Physician Assistant | 10101 Se Main St Ste 3008, Portland, OR 97216-2458 | 2007-07-23 |
| 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.