LISA M RIVERA PMHNP-BC - NPI 1154759447 - Nurse Practitioner in Mcminnville, OR

Q: What is Lisa Rivera's NPI number?

The NPI number for Lisa Rivera is 1154759447. It was assigned to this individual provider in the NPPES registry on October 23, 2013.

Q: What is Lisa Rivera's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Rivera was last updated on October 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa M Rivera Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M RIVERA PMHNP-BC (NPI 1154759447) is an individual psychiatric/mental health provider in Mcminnville, Oregon, licensed in Oregon (201393400) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1154759447

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA M RIVERACredential: PMHNP-BC

Location Address627 NE EVANS STMcminnville, OR 97128-3923

Mailing Address627 Ne Evans StMcminnville, OR 97128-3923 · (503) 434-7523 · Fax (503) 434-9846

Phone(503) 434-7523

Fax(503) 434-9846

Sole ProprietorNo

Enumeration DateOctober 23, 2013

✔ NPI 1154759447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OR · 201393400

627 NE EVANS ST, Mcminnville, OR 97128

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR CARLSTROM MSW

Social Worker