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Lisa Puma, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1720028111

Lisa Puma is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Lisa Puma practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for Lisa Puma is 1720028111 and holds a License No. 087006211N6 (Oregon).

The current practice location address for Lisa Puma is 610 Sw Alder St, Portland, OR and can be reached out via phone at 503-830-1624 and via fax at 503-452-2872. You can also correspond with Lisa Puma through the mailing address at 8635 SW 52ND AVE, PORTLAND, OR - 97219-3318 (mailing address contact number: 503-452-9803).

Location: 610 Sw Alder St, Portland, OR, 97219-3318
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Provider Profile Details
NPI Number
1720028111
Provider Name
Lisa Puma
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
610 Sw Alder St, Portland, OR, 97219-3318
Phone Number
503-830-1624
Fax Number
503-452-2872
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090511 05 OR
223347 05 OR
institution
Provider Business Practice Location Address Details
Address
610 Sw Alder St
City
State
Zip
97205-3625
Phone Number
503-830-1624
Fax Number
503-452-2872
person
Provider Business Mailing Address Details
Address
610 Sw Alder St
City
State
Zip
97205-3625
Phone Number
503-830-1624
Fax Number
503-452-2872
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
087006211N6 (Oregon)
Definition
Definition to come...
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