Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053615773 Individual Practitioner Female Practitioner

Luz Maria Brousseau , LPN

Licensed Practical Nurse • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Luz Brousseau, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Gresham, OR. Practice services are available at 600 NE 8TH ST STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Ne 8th St Ste 300

Gresham, OR 970307318

Telephone 5039888500

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Gresham, OR (741 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OR 201030226

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License Practical Nurse
201030226LPN (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Renae Rykaczewski , FNP-C

Nurse Practitioner - Family

NPI 1053895110

Family Nurse Practitioner (Certified)

Nimritjot Hothi , PA-C

Clinic/Center - Primary Care

NPI 1104667039

Physician Assistant (Certified)

Lacey Hudson

Dental Assistant

NPI 1174140511
Jacqueline Brown

Physician Assistant

NPI 1255052494
Tyler Chipman , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366812372

Psychiatric-Mental Health Nurse Practitioner

NPI 1386204766

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 29, 2019

Registered at 600 NE 8TH ST STE 300, GRESHAM, OR 970307318 (Tel: 5039888500)

📍
Updated Business Mailing Address April 29, 2019

Registered at 600 NE 8TH ST STE 300, GRESHAM, OR 970307318 (Tel: 5039888500)

NPI Profile Active July 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 24, 2012

Registered at 1734 NE 55TH AVE, PORTLAND, OR 972133503 (Tel: 5032880001)

📍
Updated Business Mailing Address July 24, 2012

Registered at 1734 NE 55TH AVE, PORTLAND, OR 972133503 (Tel: 5032880001)

👤
Provider Name / Credentials Updated July 24, 2012

Recorded as LUZ BROUSSEAU, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2012

Licensed Practical Nurse (License #201030226 in OR)

🟢
Initial NPI Registration & Enumeration January 10, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053615773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2011
Last Update: April 29, 2019
Sole Proprietor: Yes

Mailing Address

600 Ne 8th St Ste 300

Gresham, OR 970307318

Phone: 5039888500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.