Organization
FACET PSYCHIATRIC WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HEREDIA NP (PRESIDENT/PMHNP)
(503) 267-8041
Entity
Organization
Contact information
Practice address
480 5TH ST STE 101, LAKE OSWEGO, OR 97034-3079
(503) 267-8041
Mailing address
480 5TH ST STE 101, LAKE OSWEGO, OR 97034-3079
(503) 267-8041
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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