Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSE DAKOTAH LAWRENCE-PINE PMHNP
NPI 1912816703
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Q: What is Jesse Lawrence-pine's NPI number?

The NPI number for Jesse Lawrence-pine is 1912816703. It was assigned to this individual provider in the NPPES registry on September 5, 2026.

Q: What is Jesse Lawrence-pine's specialty?

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

Active since September 05, 2026

9014 N WALL AVE, PORTLAND, OR 97203(503) 545-5508 Get Directions Write a Review

NPPES record added: September 5, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Jesse Dakotah Lawrence-pine Pmhnp NPPES

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

JESSE DAKOTAH LAWRENCE-PINE PMHNP (NPI 1912816703) is an individual psychiatric/mental health provider in Portland, Oregon, licensed in Oregon (10066659) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1912816703

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJESSE DAKOTAH LAWRENCE-PINECredential: PMHNP

Location Address9014 N WALL AVEPortland, OR 97203-2658

Mailing Address9014 N Wall AvePortland, OR 97203-2658

Phone(503) 545-5508

Sole ProprietorYes

Enumeration DateSeptember 5, 2026

NPPES CertifiedSeptember 1, 2026

✔ NPI 1912816703 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 · 10066659

9014 N WALL AVE, Portland, OR 97203

Open in Google Maps ↗

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 Jesse Lawrence-pine's NPI number?

The NPI number for Jesse Lawrence-pine is 1912816703. It was assigned to this individual provider in the NPPES registry on September 5, 2026.

Where is Jesse Lawrence-pine located?

Jesse Lawrence-pine practices at 9014 N Wall Ave, Portland, OR 97203. The listed phone number is (503) 545-5508.

What is Jesse Lawrence-pine'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 Jesse Lawrence-pine was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.