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Luz Maria Brousseau , LPN

Licensed Practical Nurse β€’ Gresham, OR

Active NPI 1053615773 Individual Practitioner Female Practitioner
Practice location in NPPES

600 Ne 8th St Ste 300
Gresham, OR 970307318

Call 5039888500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

600 Ne 8th St Ste 300

Gresham, OR 970307318

Telephone 5039888500

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gresham and Oregon

6 active clinicians are listed under Licensed Practical Nurse with a practice address in Gresham, OR (725 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier License Practical Nurse
201030226LPN (OR)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1821587924

Doctor of Medicine (M.D.)

Tyler Chipman , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1366812372

Psychiatric-Mental Health Nurse Practitioner

NPI 1386204766

Doctor of Pharmacy (Pharm.D.)

Renae Rykaczewski , FNP-C

Nurse Practitioner - Family

NPI 1053895110

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 29, 2019

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

πŸ“
Updated Business Mailing Address April 29, 2019

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

βœ…
NPI Profile Active July 24, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 24, 2012

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

πŸ“
Business Mailing Address (Initial Record) July 24, 2012

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 24, 2012

Recorded as LUZ BROUSSEAU, LPN

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

Licensed Practical Nurse (license number reported to NPPES: OR 201030226)

🟒
Initial NPI Registration & Enumeration January 10, 2011

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.