Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa D Bush

Individual provider Physician Assistant · NPI 1528372380

Lisa D Bush is a Physician Assistant in Portland, Oregon. Qualified in 2010, 16 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
16
Licensed in
OR
In the registry since
2010
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 418-1472
Fax: (503) 418-1495
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 Se 136th Ave, Vancouver, WA 98684-6930 — (360) 944-9889

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA152660 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA152660 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1528372380
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 3, 2010
Last updated in NPPESMarch 6, 2022
Certification dateMarch 6, 2022
Mailing address3181 Sw Sam Jackson Park Rd., Mail Code Sjh-2, Portland, OR 97239-3011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portland