Rivera, Lisa M

Rivera, Lisa M is an individual health care provider with primary practice located at 627 Ne Evans St , Mcminnville OR 97128-3923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Rivera, Lisa M can be contacted via phone (503) 434-7523.

Contact Information

Primary practice address
627 Ne Evans St Mcminnville OR 97128-3923
Phone: (503) 434-7523
Fax: (503) 434-9846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201393400 Oregon

Profile Details

NPI number 1154759447
LBN Legal business name Rivera, Lisa M
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2013
Last updated Oct 23rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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