Provider Demographics
NPI:1346713450
Name:LERNER, LINDSEY BETH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:BETH
Last Name:LERNER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9022 N DRUMMOND AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97217-7130
Mailing Address - Country:US
Mailing Address - Phone:971-266-0647
Mailing Address - Fax:
Practice Address - Street 1:9022 N DRUMMOND AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-7130
Practice Address - Country:US
Practice Address - Phone:971-266-0647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-10
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3042103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500772431Medicaid