LIZZIE COLON (NPI# 1992115851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992115851 |
| Entity Type | Individual |
| Full Name | LIZZIE COLON |
| Practice Address |
5000 N Willamette Blvd Portland OR 97203 |
| Mailing Address |
913 Nw Garden Valley Blvd Roseburg OR 97471-6523 |
| Practice Telephone | 5039437211 |
| Mailing Telephone | 5414401000 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
201802416NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
201802416NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5000 N WILLAMETTE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972630408 | Joel James Marick | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2007-02-28 |
| 1184237935 | Brittney Tice | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-08-30 |
| 1730792409 | Ashley Lisa Thiessen | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-08-24 |
| 1487262077 | Emily Elias | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-07-20 |
| 1871115469 | Kristina Diane Miller | Specialist/Technologist | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2020-05-18 |
| 1720614878 | Colleen Christine French | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-03-20 |
| 1306493341 | Sarah Faye Curde | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-08-23 |
| 1962056556 | Stephanie Lynn Jacobson | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2019-07-31 |
| 1104481175 | Kellie Elizabeth Wilcox | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2019-05-06 |
| 1821584871 | Ryan O'connell | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5798 | 2018-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952923757 | Justin Cummings | Meals | 10105 N. Oswego Ave, Portland, OR 97203 | 2020-05-14 |
| 1407335045 | Gage Solis | Student in an Organized Health Care Education/Training Program | 8425 N. Lombard St, Portland, OR 97203 | 2018-08-13 |
| 1497103493 | Ruby Diane Ciarlante | Community Health Worker | 7803 N Portsmouth Ave, Portland, OR 97203 | 2016-05-31 |
| 1992139620 | Hannah Clare | Speech-Language Pathologist | 7126 N Amherst St, Portland, OR 97203 | 2013-08-29 |
| 1043656713 | Heather Ranae Mcintosh | Social Worker | 7323 N Burlington Ave, Portland, OR 97203 | 2013-05-21 |
| 1275879363 | Matthew Scott Bennett | Pharmacist | 6850 N. Lombard, Portland, OR 97203 | 2012-12-18 |
| 1144594094 | Candice Juliet Thomas | Pharmacist | 9000 N. Lombard St, Portland, OR 97203 | 2012-02-23 |
| 1093013211 | Aarisa Elysianne Smith | Mechanotherapist | 8438 N Lombard St, Ste 7, Portland, OR 97203 | 2011-03-11 |
| 1700103546 | Lisa Catherine Davis | Acupuncturist | 1614 Ne Alberta Street, Portland, OR 97203 | 2010-05-03 |
| 1427298579 | Donald Marvin Lorenzen | Denturist | 8530 N. Ivanhoe, Portland, OR 97203 | 2009-03-03 |
| Find all providers in zip 97203 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548399322 | Corporate Health Nw | Nurse Practitioner | 10209 Se Division St, Portland, OR 97266-1327 | 2007-03-05 |
| 1598301160 | Melissa Lohman | Nurse Practitioner | 6130 Ne 78th Ct Ste C10, Portland, OR 97218-4800 | 2019-11-19 |
| 1174170682 | Amy Samantha Peck | Nurse Practitioner | 12710 Se Division St, Portland, OR 97236-3134 | 2019-08-20 |
| 1235692484 | Ashley Chan | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2019-04-12 |
| 1871018119 | Matthew Sieg | Nurse Practitioner | 500 W Votaw St, Portland, IN 47371-1322 | 2017-08-08 |
| 1982128096 | Myra Brooke Flemister | Nurse Practitioner | 233 N Main St, Portland, AR 71663-9230 | 2017-07-31 |
| 1982056347 | Megan Lynne Black | Nurse Practitioner | 43 Baxter Blvd, Portland, ME 04101-1823 | 2016-07-11 |
| 1922463587 | Sarah Danford | Nurse Practitioner | 18000 Se Stark St, Portland, OR 97233 | 2015-12-28 |
| 1124401799 | Crystal Ward | Nurse Practitioner | 5100 Sw Macadam Ave, 200, Portland, OR 97239-6102 | 2015-07-01 |
| 1902166481 | Michele Jean Bergmann | Nurse Practitioner | 1040 Nw 22nd Ave, Ste 500, Portland, OR 97210-3057 | 2012-05-18 |
| Find all providers in PORTLAND | ||||
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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.