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

Mrs. Lisa Ann Mungenast, CRM, PSS, THW

Individual provider Peer Specialist · NPI 1215636303

Mrs. Lisa Ann Mungenast, CRM, PSS, THW is a Peer Specialist in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
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Practice location Address checks out

1030 NE Couch St
Portland, OR 97232-3067
Phone: (503) 239-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 107729 (OR)

Record details

NPI number1215636303
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRM , PSS , THW
Sole proprietorYes
NPI enumeratedFebruary 27, 2023
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

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