MS. MARY LYONS (NPI# 1659593481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659593481 |
| Entity Type | Individual |
| Full Name | MS. MARY LYONS |
| Credential | MD |
| Practice Address |
4855 Sw Western Ave Beaverton OR 97005-3460 |
| Practice Telephone | 5035204855 |
| Mailing Telephone | 5035204855 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MD00034712 | WA | Allopathic & Osteopathic Physicians |
| Y | 207N00000X | Dermatology | MD14554 | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144982 | Mary Kathryn Lyons | Registered Nurse | 128 Frankfort Rd, New Cumberland, WV 26047-3004 | 2020-08-14 |
| 1780001545 | Mary Lyons | Nurse Practitioner | 310 Freeport St Ste A, Houston, TX 77015-2339 | 2014-03-18 |
| 1063616241 | Mary Kay Lyons | Licensed Practical Nurse | 529 Pine St, Greenfield, OH 45123-1427 | 2007-06-12 |
| 1689289902 | Mary Lyons | Technician | 360 Main St, Hamlin, WV 25523-1412 | 2020-09-14 |
| 1174006290 | Mary Lyons | Clinical Nurse Specialist | 801 S Washington St, Naperville, IL 60540-7430 | 2018-09-13 |
| 1730588435 | Mary Christine Lyons | Counselor | 1205 4th St, Key West, FL 33040-3707 | 2014-08-19 |
| 1902245400 | Mary T Lyons | Nurse Practitioner | 9900 Bren Rd E, Minnetonka, MN 55343-9664 | 2013-06-18 |
| 1649475559 | Mary Therese Lyons | Clinical Nurse Specialist | 1901 W Harrison St, Chicago, IL 60612-3714 | 2007-06-19 |
| 1801952775 | Mary C Lyons | Physician Assistant | 400 S Lewis Ln, Carbondale, IL 62901-3547 | 2006-12-28 |
| 1316027881 | Mary Melanie Lyons | Nurse Practitioner | 460 W 10th Ave, Columbus, OH 43210-1240 | 2006-10-17 |
| Street Address |
4855 SW WESTERN AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407827694 | Jennifer Mae Soyke | Family Medicine | 4855 Sw Western Ave, University of Oregon, Beaverton, OR 97005-3460 | 2006-01-27 |
| 1043857105 | Reagan Ravanzo Blanco | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-12-06 |
| 1144866591 | Asela Agtay Wells | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-11-20 |
| 1851935969 | Rosilyn Ricard | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-10-31 |
| 1063074789 | Blake Mcconnell | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-07-02 |
| 1154886877 | Sarah Elizabeth Anderson Mills | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-02-06 |
| 1023506219 | Amanda Ellen Koonce | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-04-24 |
| 1285142802 | Tiffani O'neill | Counselor | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-01-17 |
| 1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
| 1346782794 | Nicole Pollock | Pharmacist | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225370927 | Alan Barry Lachman | Dermatology | 2630 Nw 144th Ave, Suite #100, Beaverton, OR 97006-5470 | 2013-03-20 |
| 1962487231 | Sandhya V Koppula | Dermatology | 17200 Nw Corridor Court, Suite 112, Beaverton, OR 97006-3295 | 2005-12-09 |
| 1235472473 | Keith Curtis Olsen | Dermatology | 4855 Sw Western Ave, Kaiser Permanente Dermatology, Beaverton, OR 97005-3460 | 2013-04-05 |
| 1922232255 | Amanda J Pickert | Dermatology | 15950 Sw Millikan Way, Beaverton, OR 97003-5170 | 2009-05-14 |
| 1336352087 | Eric Hunter Kilber | Dermatology | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2007-05-08 |
| 1699868489 | Janelle Marie Rohrback | Dermatology | 15950 Sw Millikan Way, Beaverton, OR 97006 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327185 | Clear Choice Dermatology | Dermatology | 1815 E 15th St Ste B, The Dalles, OR 97058-3309 | 2020-02-05 |
| 1508303561 | Carter Kroeplin Haag | Dermatology | 3303 S Bond Ave # 16d, Portland, OR 97239-4501 | 2017-01-27 |
| 1043765134 | Noelle Teske | Dermatology | 3303 S Bond Ave Fl 16, Portland, OR 97239-4501 | 2016-08-18 |
| 1134579535 | Caroline Morris | Dermatology | 3303 S Bond Ave # Chh16d, Portland, OR 97239-4501 | 2016-06-16 |
| 1902260425 | Sarah Baca | Dermatology | 1800 Blankenship Rd Ste 448, West Linn, OR 97068-4191 | 2016-04-11 |
| 1194110288 | Betty Si Yuan Jiang | Dermatology | 17704 Jean Way Ste 102, Lake Oswego, OR 97035-5585 | 2015-04-06 |
| 1033539184 | Natasha Fewkes Carter | Dermatology | 4914 Sw 1st Ave, Portland, OR 97239-2883 | 2014-04-16 |
| 1538588504 | Elizabeth Berry | Dermatology | Ohsu Department of Dermatology, 3303 Sw Bond Ave Ch 16d, Portland, OR 97239-4501 | 2014-04-07 |
| 1851712038 | Charles Raymond Hahn | Dermatology | 187 Sw Eastman Pkwy, Ste. #72, Gresham, OR 97080-7002 | 2013-12-14 |
| 1417207283 | Karla S Pivik | Dermatology | 2195 Nw Shevlin Park Rd, Suite 100, Bend, OR 97703-7102 | 2012-09-19 |
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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.