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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
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 Legal Name | PROVIDENCE HEALTH AND SERVICES - OREGON |
Physicians | 101 |
Name | Specialty | Organization | Address |
---|---|---|---|
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 |
Street Address |
4805 NE GLISAN ST |
City | PORTLAND |
State | OR |
Zip | 97213-2933 |
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 |
Find all physicians in the same address |
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 |
Find all physicians in zip 97213 |
City | PORTLAND |
Zip Code | 97213 |
Specialty | HOSPICE/PALLIATIVE CARE |
City + Specialty | PORTLAND + HOSPICE/PALLIATIVE CARE |
Please comment or provide details below to improve the information on Sharon F Lissman.
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.