Lina Melese Iyassu, PMHNP

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

201805649RN Issued in OR

Practice address

4180 SE Hillyard Rd
Gresham, OR 97080-7236

Phone

(405) 401-1149

NPI assigned

Feb 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1720883697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 SE HILLYARD RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807236",
            "telephone_number": "405-401-1149",
            "fax_number": "503-912-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 SE HILLYARD RD",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970807236",
            "telephone_number": "405-401-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYASSU",
        "first_name": "LINA",
        "middle_name": "MELESE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201805649RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Hanset, DMD, LLC
• Ildiko E Istvan, DMD
• Maya Iturra, LMFT, LMHC, NCC
• Rachael Anne Iverson, MS CCC-SLP
• Gayla Ann Iwata-Reuyl, PHD
• J.R. Gregg LLC
• Andrea Jackson, LAC
• Maria Josephina Jacob
• Johnathon Michael Jacobsen
• Kathryn Jacobsen

• Psychiatric/Mental Health Registered Nurse in Gresham, OR
• Providers in Gresham, OR by specialty
• Psychiatric/Mental Health Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.

Verify at the official NPI Registry.