Individual provider · Type 1 NPI
Lisa Anne Heredia, NP
Psychiatric/Mental Health Nurse Practitioner · Lake Oswego, OR
NPI number
1386503233
Active
Practice location
480 5th St Ste 101
Lake Oswego, OR 97034-3079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 10055637 (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1386503233
Lisa Anne Heredia, NP's National Provider Identifier is 1386503233, issued on Jan 16, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lake Oswego, OR. The record was last updated on Jan 18, 2026.