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ELIZABETH LEBOURVEAU
NPI 1679042568
Counselor - Mental Health in Portland, OR

Active since November 20, 2018
1507 NE 122ND AVE, PORTLAND, OR 97230(503) 258-4555 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Lebourveau NPPES

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

ELIZABETH LEBOURVEAU (NPI 1679042568) is an individual mental health provider in Portland, Oregon and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1679042568
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH LEBOURVEAU
Location Address1507 NE 122ND AVEPortland, OR 97230-1911
Mailing Address1507 Ne 122nd AvePortland, OR 97230-1911
Phone(503) 258-4555
Sole ProprietorNo
Enumeration DateNovember 20, 2018
✔ NPI 1679042568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1507 NE 122ND AVE, Portland, OR 97230
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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.

RYAN DICKER
Social Worker
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 258-4555
DAYNA L SANDERS MSW
Social Worker (Clinical)
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 258-4116
CORYNN BERNHARDT CSWA, MSW
Social Worker
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 258-4555
MS. BARBARA ALISON PANKO QMHP
Counselor
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (971) 917-6969
AVERY D'ALESSANDRO MSW
Counselor
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 258-4555
MS. MEGAN MITCHELL
Social Worker
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 258-4555
LAUREN KAPLAN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 258-4555
DANIEL MCNICHOLAS
Counselor (Mental Health)
1507 NE 122ND AVE
PORTLAND, OR 97230
Multnomah County (503) 258-4599

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 Elizabeth Lebourveau's NPI number?

The NPI number for Elizabeth Lebourveau is 1679042568. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Elizabeth Lebourveau located?

Elizabeth Lebourveau practices at 1507 NE 122nd Ave, Portland, OR 97230. The listed phone number is (503) 258-4555.

What is Elizabeth Lebourveau's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Elizabeth Lebourveau was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.