MS. LISA FAWN ENGLEMAN (NPI# 1801907787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801907787 |
| Entity Type | Individual |
| Full Name | MS. LISA FAWN ENGLEMAN |
| Other Name | DR. LISA FAWN STURGELL |
| Credential | FNP, PMHNP |
| Practice Address |
1500 Nw Bethany Blvd Ste 320 Beaverton OR 97006-5208 |
| Mailing Address |
16745 Sw Cambridge Dr Portland OR 97224-7021 |
| Practice Telephone | 5035673260 |
| Practice Fax Number | 5035673264 |
| Mailing Telephone | 5032208262 |
| Mailing Fax Number | 5032203499 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2003501139NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
200450001NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1500 NW BETHANY BLVD STE 320 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790737088 | Ivy Pearl Ross | Marriage & Family Therapist | 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006-5208 | 2006-05-16 |
| 1386187128 | Western Psychological and Counseling Services PC | Counselor | 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006-5238 | 2016-11-28 |
| 1649640699 | Heather Deming | Psychologist | 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006-5238 | 2015-10-02 |
| 1275939720 | Maren Elizabeth Lindeland | Counselor | 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006-5238 | 2014-11-11 |
| 1629404173 | Daniel Wesley Parker | Psychologist | 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006-5238 | 2013-09-16 |
| 1376826701 | Suzannah Stotts | Counselor | 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006-5208 | 2011-09-22 |
| 1255563524 | Farzana Siddiqui | Psychologist | 1500 Nw Bethany Blvd Ste 320, Beaverton, OR 97006-5238 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851603476 | Michelle Hardenbrook | Nurse Practitioner | 4800 Sw Griffith Dr Ste 104, Beaverton, OR 97005-8700 | 2010-07-12 |
| 1033379235 | Sherry Diane Davidson | Nurse Practitioner | 10700 Sw Beaverton-hillsdale Hwy, Park Plaza West Bld 3 Suite 547, Beaverton, OR 97005 | 2008-06-11 |
| 1720292915 | Raymond Anthony Pienczykowski Jr. | Nurse Practitioner | 1975 Nw 167th Pl, 6, Beaverton, OR 97006-4908 | 2007-05-09 |
| 1891800108 | Marianne Kandel | Nurse Practitioner | 3811-b Sw Hall Blvd, Beaverton, OR 97005-2041 | 2006-08-20 |
| 1124680699 | Mah Psychiatric Services, Inc. | Nurse Practitioner | 4800 Sw Griffith Dr Ste 104, Beaverton, OR 97005-8700 | 2019-07-03 |
| 1396872032 | Heidi Louise Hart | Nurse Practitioner | 15455 Nw Greenbrier Pkwy, Suite 240, Beaverton, OR 97006-7374 | 2007-02-28 |
| 1245379650 | Christine Lynn Mccambridge | Nurse Practitioner | 9700 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3306 | 2007-02-05 |
| 1306947726 | Yoonhui Choe | Nurse Practitioner | 14255 Sw Brigadoon Ct, Beaverton, OR 97005-3369 | 2006-09-26 |
| 1881791515 | Linda G Krentz | Nurse Practitioner | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2006-09-17 |
| 1558384362 | Leslie J Myers | Nurse Practitioner | 16110 Sw Regatta Ln, Beaverton, OR 97006-8942 | 2006-07-25 |
| Find all providers in BEAVERTON | ||||
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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.