Bevans, Lisa

Bevans, Lisa is an individual health care provider with primary practice located at 3175 Ne Aloclek Dr , Hillsboro OR 97124-7135. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bevans, Lisa can be contacted via phone (503) 403-4072.

Contact Information

Primary practice address
3175 Ne Aloclek Dr Hillsboro OR 97124-7135
Fax:
Website:

Profile Details

NPI number 1093075996
LBN Legal business name Bevans, Lisa
Credentials LPC,LMHC,NCC,CADCI
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2012
Last updated Dec 17th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093075996 NPPES
Arkansas MEDICAID 1093075996

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