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LISA MARIE NELSON
NPI 1033087317
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since October 28, 2025
2730 S MOODY AVE, PORTLAND, OR 97201(503) 494-8428 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lisa Marie Nelson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA MARIE NELSON (NPI 1033087317) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1033087317
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLISA MARIE NELSON
Location Address2730 S MOODY AVEPortland, OR 97201-5042
Mailing Address2730 S Moody AvePortland, OR 97201-5042 · (503) 494-8428
Phone(503) 494-8428
Sole ProprietorNo
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1033087317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2730 S MOODY AVE, Portland, OR 97201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESHA MUKHERJEE MSD
Dentist (Prosthodontics)
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (502) 531-3763
DANIEL SCOTT KOSKENMAKI
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
SARHA ELENA RUSS
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
MARK PUSUNG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8428
KATHERINE KELLY FOSSETTA PHYSICIAN ASSISTANT
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-9645
LAT WIN
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
LAUREN THOMPSON
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-8311
KAYLA MARIE RORVIG
Student in an Organized Health Care Education/Training Program
2730 S MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Nelson's NPI number?

The NPI number for Lisa Nelson is 1033087317. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Lisa Nelson located?

Lisa Nelson practices at 2730 S Moody Ave, Portland, OR 97201. The listed phone number is (503) 494-8428.

What is Lisa Nelson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lisa Nelson was last updated on October 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.