Luz Maria Brousseau, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

201030226 Issued in OR

Practice address

600 NE 8TH St Ste 300
Gresham, OR 97030-7318

Phone

(503) 988-8500

NPI assigned

Jan 10, 2011

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Luz Maria Espinoza Muniz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1053615773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE 8TH ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307318",
            "telephone_number": "503-988-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE 8TH ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307318",
            "telephone_number": "503-988-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSEAU",
        "first_name": "LUZ",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201030226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE PRACTICAL NURSE",
            "identifier": "201030226LPN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUZ",
            "last_name": "ESPINOZA MUNIZ",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brookdale Senior Living Communities, Inc. (Brookdale Mt. Hood)
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• Margeaux Danielle Brooks, PA
• Brookside Dental-Gresham
• Greg Brophy, OD
• Gabrielle Noel Brown-Wing, LMT
• Alexis Lauren Brown, LCSW
• Carrie Maiorana Brown, M.D.
• David Miles Brown
• Jacqueline Brown

• Licensed Practical Nurse in Gresham, OR
• Providers in Gresham, OR by specialty
• Licensed Practical Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.