DR. LISA MARIE WURZELBACHER (NPI# 1851560445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851560445 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE WURZELBACHER |
| Credential | PH.D. |
| Practice Address |
7175 Sw Beveland Rd Suite 200 Tigard OR 97223-8665 |
| Practice Telephone | 5038992157 |
| Mailing Telephone | 5038992157 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2016-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2319 | OR | Behavioral Health & Social Service Providers |
| Street Address |
7175 SW BEVELAND RD SUITE 200 |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-8665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982671350 | Joyce L Lee | General Practice | 7175 Sw Beveland Rd, Ste 205, Tigard, OR 97223-8665 | 2006-03-03 |
| 1952844367 | Discover Counseling | Clinic/Center | 7175 Sw Beveland Rd, Suite 105, Tigard, OR 97223-8665 | 2016-12-02 |
| 1225571706 | Life Encounter Counseling | Community/Behavioral Health | 7175 Sw Beveland Rd, 110, Tigard, OR 97223-8665 | 2016-12-01 |
| 1205246691 | Renee Boles | Counselor | 7175 Sw Beveland Rd, Suite 105, Tigard, OR 97223-8665 | 2014-05-06 |
| 1992050249 | Katherine Reis | Psychiatry & Neurology | 7175 Sw Beveland Rd, Tigard, OR 97223 | 2012-07-23 |
| 1295063717 | Robert L. Marrs, L.c.s.w., P.C. | Social Worker | 7175 Sw Beveland Rd, Suite 105, Tigard, OR 97223-8665 | 2009-11-20 |
| 1467657791 | Aaron K Potratz | Counselor | 7175 Sw Beveland Rd, Suite 105, Tigard, OR 97223-8665 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407498918 | Skyhook Fitness | Psychologist | 12008 Sw Garden Pl, Tigard, OR 97223-8263 | 2019-10-16 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1518300862 | Alia Nm Zelder | Psychologist | 9860 Sw Hall Blvd Ste C3, Tigard, OR 97223-8896 | 2013-04-16 |
| 1871862532 | Victoria Ravensberg, Psy.d., LLC | Psychologist | 14050 Sw Pacific Hwy Ste 210, Tigard, OR 97224-4890 | 2011-12-23 |
| 1700107505 | Lindsay K. Heydenrych | Psychologist | 7000 Sw Hampton St Ste 125, Tigard, OR 97223-8317 | 2010-06-15 |
| 1174848022 | Lane Dewan | Psychologist | 11575 Sw Pacific Hwy # 1031, Tigard, OR 97223-8671 | 2010-04-05 |
| 1841469616 | Tara Sanderson | Psychologist | 11845 Sw Greenburg Rd Ste 210, Tigard, OR 97223-6464 | 2008-02-26 |
| 1184820086 | Daniel Combs | Psychologist | 7340 Sw Hunziker St, Suite 210, Tigard, OR 97223-8285 | 2007-06-26 |
| 1699971770 | Edward Bruce Versteeg | Psychologist | 6975 Sw Sandburg St, Suite 340, Tigard, OR 97223-8073 | 2007-06-25 |
| 1316078942 | Timothy D. Kopet | Psychologist | 7505 Sw Beveland Rd Ste 203, Tigard, OR 97223-8682 | 2007-03-07 |
| Find all providers in TIGARD | ||||
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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.