DR. ANDREW E BLIESNER PSY.D.
NPI 1245570605
Psychologist - Clinical in Lake Oswego, OR

Q: What is Andrew Bliesner's NPI number?

The NPI number for Andrew Bliesner is 1245570605. It was assigned to this individual provider in the NPPES registry on February 22, 2013.

Q: What is Andrew Bliesner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Andrew Bliesner enrolled in Medicare?

No. Andrew Bliesner has opted out of Medicare through November 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Andrew Bliesner was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 22, 2013Opted out of Medicare · through Nov 8, 2027

14523 WESTLAKE DR STE A, LAKE OSWEGO, OR 97035(503) 984-7353(503) 372-9094 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Andrew E Bliesner Psy.d. NPPES

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

DR. ANDREW E BLIESNER PSY.D. (NPI 1245570605) is an individual clinical provider in Lake Oswego, Oregon, licensed in Oregon (2536) and active in the NPI registry since February 2013. He has opted out of Medicare through November 8, 2027.

NPPES Registry Identity

NPI1245570605

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANDREW E BLIESNERCredential: PSY.D.

Location Address14523 WESTLAKE DR STE ALake Oswego, OR 97035-7700

Mailing Address14523 Westlake Dr Ste ALake Oswego, OR 97035-7700 · (503) 984-7353 · Fax (503) 372-9094

Phone(503) 984-7353

Fax(503) 372-9094

Sole ProprietorYes

Enumeration DateFebruary 22, 2013

Last NPPES UpdateNovember 14, 2016

✔ NPI 1245570605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 2536

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

14523 WESTLAKE DR STE A, Lake Oswego, OR 97035

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Andrew E Bliesner Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 8, 2023 through November 8, 2027.

Opt-Out Effective DateNovember 8, 2023

Opt-Out In Effect ThroughNovember 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Bliesner's NPI number?

The NPI number for Andrew Bliesner is 1245570605. It was assigned to this individual provider in the NPPES registry on February 22, 2013.

Where is Andrew Bliesner located?

Andrew Bliesner practices at 14523 Westlake Dr Ste A, Lake Oswego, OR 97035. The listed phone number is (503) 984-7353.

What is Andrew Bliesner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrew Bliesner enrolled in Medicare?

No. Andrew Bliesner has opted out of Medicare through November 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrew Bliesner was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.