LISA PUMA

PORTLAND, OR
NPI1720028111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  087006211N6)
Enumeration Date2006-06-07
Last Update Date2013-03-21
Business Address
-- LISA PUMA PMHNP
610 SW ALDER ST SUITE 915
PORTLAND, OR 97205-3625
Phone number: 503-830-1624
Mailing Address
-- LISA PUMA PMHNP
8635 SW 52ND AVE
PORTLAND, OR 97219-3318
Phone number: 503-452-9803