Active NPI
Lisa Pfaffinger Kaufman, PH.D.
- Clinical Child & Adolescent Psychologist
- Portland, OR
National Provider Identifier
1457549651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 2395
- Practice address
- 3415 SE Powell Blvd.
Portland, OR 97202 - Phone
- (503) 234-9591
- Fax
- (541) 752-9270
- NPI assigned
- Oct 12, 2007
- 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 Child & Adolescent Psychologist | 103TC2200X | 2395 | OR | Primary |
Addresses
Primary practice location
3415 SE Powell Blvd.
Portland, OR 97202
Mailing address
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 234-9591
Other names 1
- Dr. Lisa Nicole Pfaffinger
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2395 | OR | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1457549651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3415 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023371",
"telephone_number": "503-234-9591",
"fax_number": "541-257-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 SE POWELL BLVD.",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97202",
"telephone_number": "503-234-9591",
"fax_number": "541-752-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "LISA",
"middle_name": "PFAFFINGER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-12",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OR",
"license": "2395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "PFAFFINGER",
"middle_name": "NICOLE",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.