Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eric Wade Lysne, CADC-R, CRM1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700607686

Eric Wade Lysne, CADC-R, CRM1 is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

10564 SE Washington St
Portland, OR 97216-2809
Phone: (503) 228-9229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence T-24-3638 (OR)

Record details

NPI number1700607686
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-R , CRM1
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Other providers in Portland