- Practice location
- 12655 SW Center St Ste 150, Beaverton, OR 97005-1864
- Phone
- 503-832-0945
- Fax
- —
- Last updated
- February 6, 2026
Lisa Mary Childs is a Nurse Practitioner, Psych/Mental Health based in Beaverton, OR. Lisa Mary Childs practices in Beaverton, OR and has the professional credentials of PMHNP. The NPI Number for Lisa Mary Childs is 1851073464 and holds a License No. 95024758 (CA). The current practice location address for Lisa Mary Childs is 12655 SW Center St Ste 150, Beaverton, OR 97005-1864 and can be reached out via phone at 503-832-0945.
Provider Profile Details
- NPI Number
- 1851073464
- Provider Name
- Lisa Mary Childs
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 12655 SW Center St Ste 150, Beaverton, OR 97005-1864
- Phone Number
- 503-832-0945
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 2, 2023
- Last Update Date
- February 6, 2026
- Certification Date
- February 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12655 SW Center St Ste 150
Beaverton, OR 97005-1864 - City
- Beaverton
- State
- Oregon
- Zip
- 97005-1864
- Phone Number
- 503-832-0945
Provider Business Mailing Address Details
- Address
- 12655 SW Center St Ste 150
Beaverton, OR 97005-1864 - City
- Beaverton
- State
- OR
- Zip
- 97005-1864
- Phone Number
- 503-832-0945
License Information
- License Number (1)
- 95024758
- License State (1)
- CA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- 086006969
- License State (2)
- OR
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 10052894
- License State (3)
- OR
- Taxonomy (3)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- License Number (4)
- 403624
- License State (4)
- CA
- Taxonomy (4)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Beaverton, OR
View all Nurse Practitioner, Psych/Mental Health providers in Beaverton →- Alexis Ali, PMHNP-BCNurse Practitioner, Psych/Mental Health · NPI 1841883501
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Frequently Asked Questions
What is the NPI number of Lisa M Childs, PMHNP?
The NPI number of Lisa M Childs, PMHNP is 1851073464. It was assigned on August 2, 2023 and is currently active in the NPPES registry.
What is the specialty of Lisa M Childs, PMHNP?
Lisa M Childs, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CA under license number 95024758.
Where does Lisa M Childs, PMHNP practice?
The practice location is 12655 SW Center St Ste 150, Beaverton, OR 97005-1864. The office can be reached at 503-832-0945 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851073464 directly on the NPPES registry website.