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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1790038271

Lydia Anne M Bartholow, PMHNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2012, 14 years ago. Practices with Legacy Emanuel Hospital and Health Center, a 233-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
14
Licensed in
OR
In the registry since
2012
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1027 E Burnside St
Portland, OR 97214-1328
Phone: (503) 239-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10362 Sw McDonald St, Tigard, OR 97224-4863 — (503) 239-8400

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 201250177NP (OR)

Record details

NPI number1790038271
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedOctober 20, 2012
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Legacy Emanuel Hospital And Health Center — 233 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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