Lisa Susan Poritz (NPI# 1427014505, PAC ID# 1759287311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1427014505 |
| PAC ID by PECOS | 1759287311 |
| Professional Enrollment ID | I20170109002953 |
| Full Name | Lisa Susan Poritz |
| Organization Legal Name | NORTHWEST CENTER FOR COLORECTAL HEALTH, LLC |
| Address |
9155 Sw Barnes Rd Suite 231 Portland OR 97225-6653 |
| Phone Number | 5032165380 |
| Gender | F |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Group Practice PAC ID | 7113109893 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9155 Sw Barnes Rd, Suite 231, Portland, OR 97225-6653 | 5032165380 | NORTHWEST CENTER FOR COLORECTAL HEALTH, LLC |
| Organization Legal Name | NORTHWEST CENTER FOR COLORECTAL HEALTH, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey V Manchio | Colorectal Surgery (proctology) | Northwest Center for Colorectal Health, LLC | 9155 Sw Barnes Rd, Suite 231, Portland, OR 97225-6653 |
| Scott M Browning | Colorectal Surgery (proctology) | Northwest Center for Colorectal Health, LLC | 18040 Sw Lower Boones Ferry Rd, Suite 207, Tigard, OR 97224-7259 |
| Megan M Cavanaugh | Colorectal Surgery (proctology) | Northwest Center for Colorectal Health, LLC | 18040 Sw Lower Boones Ferry Rd, Suite 207, Tigard, OR 97224-7259 |
| Street Address |
9155 SW BARNES RD SUITE 231 |
| City | PORTLAND |
| State | OR |
| Zip | 97225-6653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Christine Grady | Physician Assistant | Pacific Vascular Specialists PC | 9155 Sw Barnes Rd, Suite 321, Portland, OR 97225-6630 |
| Rashmi Shah | Rheumatology | Northwest Rheumatology Associates, PC | 9155 Sw Barnes Rd, Suite 314, Portland, OR 97225-6630 |
| Brian Jacob Stater | Otolaryngology | Oregon Clinic PC | 9155 Sw Barnes Rd, 536 The Oregon Clinic PC, Portland, OR 97225-6625 |
| Edsel Uisuk Kim | Otolaryngology | Oregon Clinic PC | 9155 Sw Barnes Rd, 536 The Oregon Clinic PC, Portland, OR 97225-6625 |
| John W Wiest | Vascular Surgery | Pacific Vascular Specialists PC | 9155 Sw Barnes Rd, Suite 321, Portland, OR 97225-6630 |
| Lindsey M Hill | Qualified Audiologist | Oregon Clinic PC | 9155 Sw Barnes Rd, 536 The Oregon Clinic PC, Portland, OR 97225-6625 |
| Cathleen L Hernandez | Physician Assistant | Starr-wood Cardiac Group of Portland PC | 9155 Sw Barnes Rd, Suite 240, Portland, OR 97225-6629 |
| Roberta N Vandentop | Physician Assistant | Pain Management Consultants, PC | 9155 Sw Barnes Rd, Suite 934, Portland, OR 97225-6636 |
| Erika A Siegel | Clinical Social Worker | Providence Health and Services Oregon | 9155 Sw Barnes Rd, Suite 333, Portland, OR 97225-6630 |
| Daniel C Rohrer | Neurosurgery | Comprehensive Neurosurgical Consultants PC | 9155 Sw Barnes Rd, Suite 210, Portland, OR 97225-6629 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robyn L Finseth | Chiropractic | 4850 Sw Scholls Ferry Rd, Suite 205, Portland, OR 97225-1692 | |
| Ayla Jade Himmelsbach | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Mary A Domm | Chiropractic | 8550 Sw Apple Way, Portland, OR 97225-1772 | |
| David J Mcbride | Optometry | Nimbus Vision Clinic, LLC | 8566 Sw Apple Way, Portland, OR 97225-1772 |
| Jeffrey E Devine | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Christine Rose Adriano Walty | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Ronald E Pacheco | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Barry D Shulak | Chiropractic | Devine Chiropractic Inc | 8225 Sw Apple Way, Suite 100, Portland, OR 97225-1783 |
| Robert D Peek | Optometry | 5045 Sw 77th Ave, Portland, OR 97225-1812 | |
| William F Mcbride | Family Medicine | 4475 Sw Scholls Ferry Rd, Suite 150, Portland, OR 97225-1957 | |
| Find all physicians in zip 97225 | |||
| City | PORTLAND |
| Zip Code | 97225 |
| Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | PORTLAND + COLORECTAL SURGERY (PROCTOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.