Individual provider Active NPI

Lisa Elaine Hake, MD

  • Psychiatry Physician
  • Bend, OR
National Provider Identifier
1619479367
Registry record updated Apr 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD203410 Issued in OR
Practice address
108 NW Phils Loop
Bend, OR 97703-5486
Phone
(540) 449-3366
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD203410 OR Primary

Addresses

Primary practice location

108 NW Phils Loop
Bend, OR 97703-5486

Mailing address

108 NW Phils Loop
Bend, OR 97703-5486
Phone (540) 449-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318004354 OR Practitioner - Psychiatry 2769730639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Stanford University School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Bend, OR 97703
Phone (540) 449-3366

1400 SW 5TH Ave
FL 5
Portland, OR 97201-5509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD203410ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tuality Medical Group LLC CurrentSince Feb 1, 2026 Accepting new patients
Tuality Medical Group LLC CurrentSince Feb 1, 2026 Accepting new patients
You'Re Not Alone Psychiatry Psychiatry Current Accepting new patients

Locations

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1619479367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 NW PHILS LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035486",
            "telephone_number": "540-449-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NW PHILS LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977035486",
            "telephone_number": "540-449-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKE",
        "first_name": "LISA",
        "middle_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD203410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.