LISA WISE MD
NPI 1417489824
Psychiatry & Neurology - Psychiatry in Portland, OR

Q: What is Lisa Wise's NPI number?

The NPI number for Lisa Wise is 1417489824. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Q: What is Lisa Wise's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wise was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 03, 2017PECOS Enrolled

3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239(503) 220-8262 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Feb 1, 2023, Nov 27, 2019 (3 updates tracked since 2019).

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About Lisa Wise Md NPPES

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

LISA WISE MD (NPI 1417489824) is an individual psychiatry provider in Portland, Oregon, licensed in California (A158675) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417489824

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameLISA WISECredential: MD

Location Address3710 SW US VETERANS HOSPITAL RDPortland, OR 97239-2964

Mailing Address3710 Sw Us Veterans Hospital RdPortland, OR 97239-2964 · (032) 208-2625

Phone(503) 220-8262

Sole ProprietorNo

Enumeration DateApril 3, 2017

Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2023

✔ NPI 1417489824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A158675

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3710 SW US VETERANS HOSPITAL RD, Portland, OR 97239

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Wise Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.88 typical visit price

range $58.99 – $176.88

Typical copayment $44.22 (range $14.74 – $44.22)

Most-billed visit code 99205

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JESSICA J KHALILI PHARMD

Pharmacist

3710 SW US VETERANS HOSPITAL RD, PHARMACY DEPARTMENT
PORTLAND, OR 97239

Multnomah County (503) 402-2946

MICHELLE LEA KELLER

Social Worker (Clinical)

3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239

Multnomah County (503) 220-8262

DR. AMY W WAGNER PH.D.

Psychologist

3710 SW US VETERANS HOSPITAL RD, V3-SATP
PORTLAND, OR 97239

Multnomah County (503) 220-8262

DR. DAVID MORRISON DOUGLAS MD

Psychiatry & Neurology (Geriatric Psychiatry)

3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239

Multnomah County (503) 721-1440

KENNETH JOHN SCALAPINO M.D.

Internal Medicine (Rheumatology)

3710 SW US VETERANS HOSPITAL RD, P3MED
PORTLAND, OR 97239

Multnomah County (503) 220-8262

MS. LAKSHI MARIE ALDREDGE NP

Nurse Practitioner (Adult Health)

3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239

Multnomah County (503) 220-8268

GRACE CHIEN M.D.

Anesthesiology

3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239

Multnomah County (503) 220-8262

DR. MARI UCHISHIBA PHARMD, CDE

Pharmacist (Pharmacotherapy)

3710 SW US VETERANS HOSPITAL RD, GP1P3PHAR
PORTLAND, OR 97239

Multnomah County (503) 220-8262

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 Wise's NPI number?

The NPI number for Lisa Wise is 1417489824. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Lisa Wise located?

Lisa Wise practices at 3710 SW Us Veterans Hospital Rd, Portland, OR 97239. The listed phone number is (503) 220-8262.

What is Lisa Wise's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lisa Wise enrolled in Medicare?

Yes. Lisa Wise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Wise was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.