Active NPIIndividual provider

Lisa A Bourlon

Massage Therapist in Beaverton, Oregon

NPI Number1891933289
Practice location
238 SE 2 Avenue, Beaverton, OR 97123
Fax
—
Last updated
January 23, 2009

Lisa A Bourlon is a Massage Therapist based in Beaverton, OR. The NPI number for Lisa A Bourlon is 1891933289 and holds license No. 14779 (OR). The current practice location address is 238 SE 2 Avenue, Beaverton, OR 97123 and the office can be reached by phone at 503-358-3385. The NPI was assigned on January 23, 2009 and the record was last updated in NPPES on January 23, 2009.

●Provider Profile Details

NPI Number
1891933289
Provider Name
Lisa Ann Bourlon
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
No
Enumeration Date
January 23, 2009
Last Update Date
January 23, 2009
NPI Status
Active

◉Business Practice Location Address

Address
238 SE 2 Avenue
Beaverton, OR 97123
State
Oregon
ZIP
97123
Country
US
Phone Number
503-358-3385

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✉Business Mailing Address

Address
13345 SW Brightwood Street
Beaverton, OR 97005-1222
City
Beaverton
State
OR
ZIP
97005-1222
Phone Number
503-358-3385

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XYes14779OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Lisa A Bourlon?

The NPI number of Lisa A Bourlon is 1891933289. It was assigned on January 23, 2009 and is currently active in the NPPES registry.

What is the specialty of Lisa A Bourlon?

Lisa A Bourlon is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 14779 (OR).

Where does Lisa A Bourlon practice?

The practice location is 238 SE 2 Avenue, Beaverton, OR 97123. The office can be reached at 503-358-3385 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891933289 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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