| Lisa Maria Crandall, MA CCC-SLP | |
|
10180 Se Sunnyside Rd, Speech Pathology Department, Clackamas, OR 97015-8970 | |
| (503) 652-2880 | |
| (503) 571-5838 |
| Full Name | Lisa Maria Crandall |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245342278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 11792 (Oregon) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Maria Crandall, MA CCC-SLP 10180 Se Sunnyside Rd, Speech Pathology Department, Clackamas, OR 97015-8970 Ph: (503) 571-3823 | Lisa Maria Crandall, MA CCC-SLP 10180 Se Sunnyside Rd, Speech Pathology Department, Clackamas, OR 97015-8970 Ph: (503) 652-2880 |
Ms. Korynn Underwood, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 503-675-4000 | |
Mrs. Avital Frumin Rosenfeld, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 503-662-8148 | |
Ms. Deborah Kallen, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Kaiser Sunnyside Medical Center, 10180 S.e. Sunnyside Road, Clackamas, OR 97015 Phone: 503-571-3820 | |
Haleakala Myers, M.A., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 503-675-4000 | |
Jessica Sanchez Jacobson, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10180 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-813-2000 | |
Lauryn Velasquez, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 9123 Se Saint Helens St Ste 255b, Clackamas, OR 97015 Phone: 503-974-6774 | |
Mr. Chan Y Macdonald, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 13455 Se 97th Ave, Clackamas, OR 97015 Phone: 503-908-2979 |