Active NPI
Lianne Carole Lennert, PSYD
- Clinical Psychologist
- Beaverton, OR
National Provider Identifier
1235120817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1538
- Practice address
- 4900 SW Griffith Dr
Ste 235
Beaverton, OR 97005-5607 - Phone
- (503) 539-4654
- Fax
- (503) 641-1601
- NPI assigned
- Nov 2, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1538 | OR | Primary |
Addresses
Primary practice location
4900 SW Griffith Dr
Ste 235
Beaverton, OR 97005-5607
Mailing address
915 NW 87TH Ave
Portland, OR 97229-6462
Phone (503) 203-6845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213440 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1538 | OR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235120817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 NW 87TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972296462",
"telephone_number": "503-203-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 SW GRIFFITH DR",
"address_2": "STE 235",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970055607",
"telephone_number": "503-539-4654",
"fax_number": "503-641-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENNERT",
"first_name": "LIANNE",
"middle_name": "CAROLE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "1538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213440",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.