LISA ANN BOURLON (NPI# 1891933289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891933289 |
| Entity Type | Individual |
| Full Name | LISA ANN BOURLON |
| Practice Address |
238 Se 2 Avenue Beaverton OR 97123 |
| Mailing Address |
13345 Sw Brightwood Street Beaverton OR 97005-1222 |
| Practice Telephone | 5033583385 |
| Mailing Telephone | 5033583385 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 14779 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
238 SE 2 AVENUE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97123 |
| 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 Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567124 | Isaac G Frank | Massage Therapist | 5920 Sw Erickson Ave Apt 16, Beaverton, OR 97005-4557 | 2020-08-06 |
| 1578172417 | Rebecca Bamberg | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 150, Beaverton, OR 97006-8133 | 2020-07-27 |
| 1497398283 | Ashley Dawn Contreras | Massage Therapist | 10029 Sw Nimbus Ave Ste 230, Beaverton, OR 97008-7110 | 2019-10-23 |
| 1316580608 | James Anthony Jacoby | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 605, Beaverton, OR 97005-3019 | 2019-10-20 |
| 1942858832 | Karen Elaine Weitz | Massage Therapist | 1975 Nw 167th Pl Ste 5, Beaverton, OR 97006-4908 | 2019-09-03 |
| 1073078614 | Daniel Edwards | Massage Therapist | 4655 Sw Griffith Dr Ste 180, Beaverton, OR 97005-8732 | 2019-02-07 |
| 1922578756 | Deanna (deedee) Lancaster Hoover | Massage Therapist | 3515 Sw 108th Ave, Beaverton, OR 97005-1830 | 2018-12-05 |
| 1548735046 | Rap Manual Therapy LLC | Massage Therapist | 15455 Nw Greenbrier Pkwy Ste 120, Beaverton, OR 97006-8115 | 2018-10-10 |
| 1891272225 | Ben Shepherd Cohn | Massage Therapist | 16088 Sw Hillary Pl, Beaverton, OR 97007 | 2018-07-27 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on LISA ANN BOURLON.
| 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.