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
Phone: (503) 403-4072
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 15-10-04 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LH60737045 | Washington |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C3905 | Oregon |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093075996 | NPPES |
| Arkansas | MEDICAID | 1093075996 |
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