LISA ANNE HEREDIA NP
NPI 1386503233
Nurse Practitioner - Psychiatric/Mental Health in Lake Oswego, OR

Q: What is Lisa Heredia's NPI number?

The NPI number for Lisa Heredia is 1386503233. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Q: What is Lisa Heredia'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 Heredia was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 January 16, 2026

480 5TH ST STE 101, LAKE OSWEGO, OR 97034(503) 267-8041 Get Directions Write a Review

NPPES record last updated: January 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Anne Heredia Np NPPES

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

LISA ANNE HEREDIA NP (NPI 1386503233) is an individual psychiatric/mental health provider in Lake Oswego, Oregon, licensed in Oregon (10055637) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1386503233

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameLISA ANNE HEREDIACredential: NP

Location Address480 5TH ST STE 101Lake Oswego, OR 97034-3079

Mailing Address480 5th St Ste 101Lake Oswego, OR 97034-3079 · (503) 267-8041

Phone(503) 267-8041

Sole ProprietorYes

Enumeration DateJanuary 16, 2026

Last NPPES UpdateJanuary 18, 2026

NPPES CertifiedJanuary 18, 2026

✔ NPI 1386503233 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 · 10055637

480 5TH ST STE 101, Lake Oswego, OR 97034

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Other Providers at the Same Location NPPES

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

FACET PSYCHIATRIC WELLNESS, LLC

Nurse Practitioner (Psychiatric/Mental Health)

480 5TH ST STE 101
LAKE OSWEGO, OR 97034

Clackamas County (503) 267-8041

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 Lisa Heredia's NPI number?

The NPI number for Lisa Heredia is 1386503233. It was assigned to this individual provider in the NPPES registry on January 16, 2026.

Where is Lisa Heredia located?

Lisa Heredia practices at 480 5th St Ste 101, Lake Oswego, OR 97034. The listed phone number is (503) 267-8041.

What is Lisa Heredia's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Heredia was last updated on January 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.