ERIC WADE LYSNE CADC-R, CRM1
NPI 1700607686
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since October 23, 2024
10564 SE WASHINGTON ST, PORTLAND, OR 97216(503) 228-9229 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Eric Wade Lysne Cadc-r, Crm1 NPPES

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

ERIC WADE LYSNE CADC-R, CRM1 (NPI 1700607686) is an individual addiction (substance use disorder) provider in Portland, Oregon, licensed in Oregon (T-24-3638) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1700607686
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameERIC WADE LYSNECredential: CADC-R, CRM1
Location Address10564 SE WASHINGTON STPortland, OR 97216-2809
Mailing Address10564 Se Washington StPortland, OR 97216-2809 · (503) 228-9229
Sole ProprietorNo
Enumeration DateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1700607686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OR · T-24-3638
10564 SE WASHINGTON ST, Portland, OR 97216

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.

Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Mental Health)
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Peer Specialist
10564 SE WASHINGTON ST
PORTLAND, OR 97216
Counselor (Addiction (Substance Use Disorder))
10564 SE WASHINGTON ST
PORTLAND, OR 97216

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 Eric Lysne's NPI number?

The NPI number for Eric Lysne is 1700607686. It was assigned to this individual provider in the NPPES registry on October 23, 2024.

Where is Eric Lysne located?

Eric Lysne practices at 10564 SE Washington St, Portland, OR 97216. The listed phone number is (503) 228-9229.

What is Eric Lysne's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Eric Lysne was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.