Dr. Elizabeth Nunez, PsyD
Psychologist in Portland, OR. Individual provider (NPI-1).
NPI number1699159293
StatusActive
Last updated in NPPESJan 11, 2024
Details
- NPI
- 1699159293
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elizabeth Nunez
- Credential
- PsyD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2015
- Certification date
- Jan 11, 2024
- Last updated
- Jan 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- Medicare opt-out
- Jun 4, 2026 to Jun 4, 2028
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
1201 Sw 12th Ave Ste 224Portland, OR 97205-2083
Phone 971-251-9856 · Fax 503-206-6713
Mailing address
Po Box 16308Portland, OR 97292-0308
Phone 503-255-2343 · Fax 503-255-2344
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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