Search › Oregon › 101Y00000X
Lisa Rose Gagnon
NPI 1174925853 · on the registry since 2014
Practice
- Address
- 3415 Se Powell Blvd, Portland
Portland, OR 97202 - Phone
- (503) 234-9591
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon