Individual
LISA ELAINE HAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 NW PHILS LOOP, BEND, OR 97703-5486
(540) 449-3366
Mailing address
108 NW PHILS LOOP, BEND, OR 97703-5486
(540) 449-3366
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD203410
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
Other
Enumeration date
03/08/2018
Last updated
04/25/2026
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