Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Maria Crandall, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1245342278

Lisa Maria Crandall, MACCC-SLP is a Qualified Speech Language Pathologist in Clackamas, Oregon. Qualified in 1996, 30 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
30
Licensed in
OR
In the registry since
2006
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Practice location Address checks out

10180 SE Sunnyside Rd Speech Pathology Dept
Clackamas, OR 97015-8970
Phone: (503) 652-2880
Fax: (503) 571-5838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 11792 (OR)

Record details

NPI number1245342278
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Clackamas