Lisa B Gordon (NPI# 1154981967, PAC ID# 2264762640) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1154981967 |
| PAC ID by PECOS | 2264762640 |
| Professional Enrollment ID | I20190927000766 |
| Full Name | Lisa B Gordon |
| Organization Legal Name | EVERGREEN SPEECH CLINIC INC |
| Address |
8301 161st Ave Ne Suite 208 Redmond WA 98052-3858 |
| Phone Number | 4258824347 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 0840429718 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8301 161st Ave Ne, Suite 208, Redmond, WA 98052-3858 | 4258824347 | EVERGREEN SPEECH CLINIC INC |
| Organization Legal Name | EVERGREEN SPEECH CLINIC INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maivy Ho | Qualified Speech Language Pathologist | Evergreen Speech Clinic Inc | 1800 116th Ave Ne, Suite 103, Bellevue, WA 98004-3043 |
| Maryam Sadrzadeh | Qualified Speech Language Pathologist | Evergreen Speech Clinic Inc | 1800 116th Ave Ne, Suite 103, Bellevue, WA 98004-3043 |
| Jessica Novick | Qualified Speech Language Pathologist | Evergreen Speech Clinic Inc | 8301 161st Ave Ne, Suite 208, Redmond, WA 98052-3858 |
| Bridget N Griffin | Speech Language Pathologist | Evergreen Speech Clinic Inc | 8301 161st Ave Ne, 208 Evergreen Speech and Hearing Clinic Inc, Redmond, WA 98052-3858 |
| Amanda Carolyn Parker | Speech Language Pathologist | Evergreen Speech Clinic Inc | 12333 Ne 130th Ln, 430 Evergreen Speech and Hearing Clinic Inc, Kirkland, WA 98034-7467 |
| Leslie A Crossan | Speech Language Pathologist | Evergreen Speech Clinic Inc | 12333 Ne 130th Ln, Kirkland, WA 98034-7467 |
| Lindsay C Bley | Speech Language Pathologist | Evergreen Speech Clinic Inc | 8301 161st Ave Ne, 208 Evergreen Speech and Hearing Clinic Inc, Redmond, WA 98052-3858 |
| Jennifer L Dierenfeld | Speech Language Pathologist | Evergreen Speech Clinic Inc | 12333 Ne 130th Ln, 430 Evergreen Speech and Hearing Clinic Inc, Kirkland, WA 98034-7467 |
| Street Address |
8301 161ST AVE NE SUITE 208 |
| City | REDMOND |
| State | WA |
| Zip | 98052-3858 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcia H Jimenez | Psychologist, Clinical | 8301 161st Ave Ne, Suite 300, Redmond, WA 98052-3858 | |
| Michael E Weiss | Allergy/immunology | Northwest Asthma and Allergy Center | 8301 161st Ave Ne, Suite 308, Redmond, WA 98052-3858 |
| Mary V Lasley | Allergy/immunology | Northwest Asthma and Allergy Center | 8301 161st Ave Ne, Suite 308, Redmond, WA 98052-3858 |
| Brian Dean Jaeger | Psychiatry | 8301 161st Ave Ne, Suite 300, Redmond, WA 98052-3858 | |
| Leonard C Altman | Allergy/immunology | Northwest Asthma and Allergy Center | 8301 161st Ave Ne, Suite 308, Redmond, WA 98052-3858 |
| Lisa C. Winterroth | Allergy/immunology | Northwest Asthma and Allergy Center | 8301 161st Ave Ne, Suite 308, Redmond, WA 98052-3858 |
| Terri Elizabeth Reichner | Diagnostic Radiology | Radia Inc Ps | 8301 161st Ave Ne, Suite 104, Redmond, WA 98052-3858 |
| Jessica Novick | Qualified Speech Language Pathologist | Evergreen Speech Clinic Inc | 8301 161st Ave Ne, Suite 208, Redmond, WA 98052-3858 |
| Catherine A Delsecco | Physician Assistant | Sound Dermatology and Skin Surgery Pllc | 8301 161st Ave Ne, Suite 108, Redmond, WA 98052-3858 |
| Thomas F Gumprecht | Otolaryngology | Proliance Surgeons, Inc., P.s. | 8301 161st Ave Ne, 200 Proliance Eastside Ent, Redmond, WA 98052-3858 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy K Richardson | Podiatry | 16701 Cleveland St, Suite C, Redmond, WA 98052-0901 | |
| Atousa Sobhi | General Practice | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Lauren A Donahue | Physical Therapy | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Jack Hsin-kuan Hung | Family Medicine | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Nicholas Tyler Church | Family Medicine | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Lasley Xiong | Family Medicine | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Jeffrey H Gelgisser | Family Medicine | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Juliana H Nam | Nurse Practitioner | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Suite 100, Redmond, WA 98052-1542 |
| Barbara H Walker | Hospice/palliative Care | Kaiser Foundation Health Plan of Washington | 15809 Bear Creek Pkwy, Redmond, WA 98052-1542 |
| Kyle J Henneberry | Diagnostic Radiology | Oroville Hospital | 15734 Ne 117th St, Redmond, WA 98052-2298 |
| Find all physicians in zip 98052 | |||
| City | REDMOND |
| Zip Code | 98052 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | REDMOND + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Lisa B Gordon.
| 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.