Sharon F Lissman
PROVIDENCE HEALTH AND SERVICES - OREGON


Address: 4805 Ne Glisan St, Portland, OR 97213-2933
Phone: 5032152669

Sharon F Lissman (NPI# 1205871993, PAC ID# 4284626995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPICE/PALLIATIVE CARE.

Physician Overview

Nation Provider ID (NPI) 1205871993
PAC ID by PECOS 4284626995
Professional Enrollment ID I20040401001205
Full Name Sharon F Lissman
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - OREGON
Address 4805 Ne Glisan St
Portland
OR 97213-2933
Phone Number 5032152669
Gender F
Credential MD
Medical School UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year 1995
Primary Specialty HOSPICE/PALLIATIVE CARE
Secondary Specialties GERIATRIC MEDICINE
Group Practice PAC ID 6305755000
Number of Group Practice Members 18
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380061 PROVIDENCE PORTLAND MEDICAL CENTER

Other Locations

Address Phone Organization
10140 Sw Park Way, Portland, OR 97225-5008 5032167047 PROVIDENCE HEALTH AND SERVICES - OREGON
4805 Ne Glisan St, Portland, OR 97213-2933 5032152669 PROVIDENCE HEALTH AND SERVICES - OREGON

Organization Information

Organization Legal Name PROVIDENCE HEALTH AND SERVICES - OREGON
Physicians 101

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Karina M Squire Nurse Practitioner Providence Health and Services - Oregon 171 S Hwy 101, Warrenton, OR 97146-9314
Randy L Sasich Pulmonary Disease Providence Health and Services - Oregon 501 Villa Rd, Newberg, OR 97132-1832
Shelley A Denison Nurse Practitioner Providence Health and Services - Oregon 10140 Sw Park Way, Portland, OR 97225-5008
Allan R Alexander Family Practice Providence Health and Services - Oregon 2100 Ne 139th St, Vancouver, WA 98686-2300
Deborah S Dorst Nurse Practitioner Providence Health and Services - Oregon 6410 Ne Halsey St, Portland, OR 97213-4759
Shoshawna Rainwater Clinical Social Worker Providence Health and Services - Oregon 10140 Sw Park Way, Portland, OR 97225-5008
Elke P Lowenkopf Hospice/palliative Care Providence Health and Services - Oregon 1500 Division St, Rm 1005, Oregon City, OR 97045-1527
Elise Newman Hospice/palliative Care Providence Health and Services - Oregon 4805 Ne Glisan St, Portland, OR 97213-2933
Talya L Freudmann Nurse Practitioner Providence Health and Services - Oregon 10140 Sw Park Way, Portland, OR 97225-5008
Christopher R Eilersen Family Medicine Providence Health and Services - Oregon 200 S Hazel Dell Way, Suite 210, Canby, OR 97013-7828

Office Location

Street Address 4805 NE GLISAN ST
City PORTLAND
State OR
Zip 97213-2933

Physicians in the same location

Name Specialty Organization Address
Salona Shrestha Internal Medicine Providence Health and Services Oregon 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933
Gita D Gelfer Hospitalist Providence Health and Services Oregon 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933
Karissa Lynn Schwartz Qualified Speech Language Pathologist Providence Health and Services Oregon 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933
Rhezarie Mae A Agtarap Nurse Practitioner Providence Health and Services Oregon 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933
Bruce K Bolton Anesthesiology Oregon Anesthesiology Group PC 4805 Ne Glisan St, Portland, OR 97213-2933
Ivan I Biley Internal Medicine Providence Health and Services Oregon 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933
Becky L Bowler Nurse Practitioner Providence Health and Services Oregon 4805 Ne Glisan St, Portland, OR 97213-2933
Hoda A Ilias Hospitalist Providence Health and Services Oregon 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933
Janice A Tsuchida Nurse Practitioner Providence Health and Services Oregon 4805 Ne Glisan St, Portland, OR 97213-2933
Cornelia C Taylor Hospitalist Providence Health and Services Oregon 4805 Ne Glisan St, Suite Bg05, Portland, OR 97213-2933
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Physicians in the same zip code

Name Specialty Organization Address
John R Lewis Optometry Beaumont Vision, PC 4331 Ne Fremont St, Portland, OR 97213-1151
David M Klipper Diagnostic Radiology Kern Radiology Medical Group Inc 4231 Ne Siskiyou St, Portland, OR 97213-1161
Evonne N Serpa Qualified Audiologist 4311 Ne Tillamook St, Portland, OR 97213-1315
Judith J Chambers Clinical Social Worker 1804 Ne 45th Ave, Portland, OR 97213-1416
Diane Squire Hyde Clinical Social Worker 1804 Ne 45th Ave, Portland, OR 97213-1416
Marjorie J Hrbek Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Mary Lee Baker Pediatric Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Lorelei Elizabeth Ditommaso Dermatology Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Tracy L Hansen Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
Anne M Hirsch Internal Medicine Broadway Medical Clinic LLP 4212 Ne Broadway, Portland, OR 97213-1422
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Competitor

Search similar physicians

City PORTLAND
Zip Code 97213
Specialty HOSPICE/PALLIATIVE CARE
City + Specialty PORTLAND + HOSPICE/PALLIATIVE CARE

Improve Information

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Dataset Information

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.

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