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Alissa Lyman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Uhs32, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Alissa Lyman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1245534247
Provider Type
Individual
Full Name
Lyman, Alissa
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
1/5/2011
Last Updated
8/30/2016

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Uhs32, Portland, OR 97239-3011

(503) 418-5750

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, Uhs32, Portland, OR 97239-3011

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 159835 Oregon

Alissa Lyman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Keranen, Katharine J

Smith, Parrish

Fix, Paxton

Good, Paulina

Jensen, Amanda

Rowden, Daniel

Crawford Rowe, Elizabeth Kay

Hutchins, Abbie Jo

Schulzetenberg, Briana

Chase, Margot Elizabeth