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Deactivated NPI 1972783538 Deactivated / Inactive NPI Female Practitioner

Lisa Bryan , MS CCC-SLP

Speech-Language Pathologist • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Bryan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 11, 2007
NPI Deactivation Date March 07, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Lisa Bryan, MS CCC-SLP was a registered Speech-Language Pathologist practicing in Portland, OR. Throughout an active medical career spanning 11 years, Lisa Bryan provided care at the practice location at 10300 NE HANCOCK ST until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

10300 Ne Hancock St

Portland, OR 972203831

Telephone 5032575500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
652 Specialists

Practicing in Portland, OR (2106 Statewide)

Telehealth Adoption Rate
0.2% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL00004596

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Eric De Bruyne , DPT

Physical Therapist

NPI 1013293810

Doctor of Physical Therapy

Bri'enne Greenwell , OTR

Occupational Therapist

NPI 1023353968

Occupational Therapist Registered

James Burke , FNP

Nurse Practitioner - Family

NPI 1245463975

Family Nurse Practitioner

NPI 1245771740

Registered Nurse, Bachelor of Science in Nursing

Dr. Elizabeth Peck , DPT

Physical Therapist

NPI 1265624464

Doctor of Physical Therapy

Alexander Kurata , PTA

Physical Therapy Assistant

NPI 1265844336

Physical Therapist Assistant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 07, 2018

Record deactivated on March 07, 2018

NPI Profile Active August 16, 2011

NPI status registered as active in NPPES database

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Updated Practice Location August 16, 2011

Registered at 10300 NE HANCOCK ST, PORTLAND, OR 972203831 (Tel: 5032575500)

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Updated Business Mailing Address August 16, 2011

Registered at 4605 NW 135TH CIR, VANCOUVER, WA 986851567

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Provider Name / Credentials Updated August 16, 2011

Recorded as LISA BRYAN, M.S. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2011

Speech-Language Pathologist (License #LL00004596 in WA)

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Initial NPI Registration & Enumeration November 11, 2007

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: 1972783538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2007
Last Update: August 16, 2011
Deactivation Date: March 07, 2018

Mailing Address

4605 Nw 135th Cir

Vancouver, WA 986851567

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

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