LISA STURDIVANT NPI 1225637671

NPI Information

NPI: 1225637671
Provider Name: LISA STURDIVANT
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
21900 WILLAMETTE DR STE 202
WEST LINN, OR
ZIP 97068
Phone: (503) 789-9733
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Lisa Sturdivant is a mental health counselor in West Linn, OR. Lisa Sturdivant NPI is 1225637671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21900 WILLAMETTE DR STE 202
WEST LINN, OR
ZIP 97068-284
Phone: (503) 789-9733

The enumeration date for this NPI number is 10/17/2020 and was last updated on 4/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	R6173	OREGON	Yes
2	106H00000X	Marriage & Family Therapist		R4829	OREGON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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