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LISA PUMA PMHNP
NPI 1720028111
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since June 07, 2006
610 SW ALDER ST, SUITE 915, PORTLAND, OR 97205(503) 830-1624(503) 452-2872 Get Directions Write a Review

NPPES record last updated: March 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lisa Puma Pmhnp NPPES

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

LISA PUMA PMHNP (NPI 1720028111) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (087006211N6) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1720028111
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA PUMACredential: PMHNP
Location Address610 SW ALDER ST, SUITE 915Portland, OR 97205-3625
Mailing Address8635 Sw 52nd AvePortland, OR 97219-3318 · (503) 452-9803 · Fax (503) 452-2872
Phone(503) 830-1624
Fax(503) 452-2872
Sole ProprietorYes
Enumeration DateJune 7, 2006
Last NPPES UpdateMarch 21, 2013
✔ NPI 1720028111 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 · 087006211N6
610 SW ALDER ST, Portland, OR 97205
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN116185OR
Medicare ID-Type Unspecified116185
Medicaid090511OR
Medicaid223347OR
Medicare UPINP091490OR

Other Providers at the Same Location NPPES 8

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

DR. BENJAMIN WANG DMD
Dentist
610 SW ALDER ST, SUITE 1105
PORTLAND, OR 97205
Multnomah County (503) 228-1506
MRS. JESSICA TOLLESON M.A., LPC
Counselor (Professional)
610 SW ALDER ST, SUITE 1100
PORTLAND, OR 97205
Multnomah County (503) 714-5814
SHEILA KATHRYN AHERN CPE
Specialist
610 SW ALDER ST, STUITE 920
PORTLAND, OR 97205
Multnomah County (503) 227-6050
BENJAMIN C WANG DMD PC
Dentist
610 SW ALDER ST, SUITE 1105
PORTLAND, OR 97205
Multnomah County (503) 228-1506
DR. KENNETH R BALMFORTH DMD
Dentist (General Practice)
610 SW ALDER ST, SUITE 901
PORTLAND, OR 97205
Multnomah County (503) 227-1491
JM COUNSELING AND CONSULTING, LLC
Counselor (Mental Health)
610 SW ALDER ST, SUITE 1100
PORTLAND, OR 97205
Multnomah County (503) 597-8751
LAURA MARIE SEPARA THERAPY SERVICES
Community/Behavioral Health
610 SW ALDER ST, SUITE 1100
PORTLAND, OR 97205
Multnomah County (503) 724-0943
MISS DEBORAH J WOO MA
Counselor (Mental Health)
610 SW ALDER ST, SUITE 921
PORTLAND, OR 97205
Multnomah County (503) 430-9354

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 Puma's NPI number?

The NPI number for Lisa Puma is 1720028111. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Lisa Puma located?

Lisa Puma practices at 610 SW Alder St Suite 915, Portland, OR 97205. The listed phone number is (503) 830-1624.

What is Lisa Puma'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 Puma was last updated on March 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.