person
Ms. Lisa Marie Nystrom, LPN
Licensed Practical Nurse in Portland, Oregon
NPI 1790254399

Lisa Marie Nystrom is a Licensed Practical Nurse based in Portland, OR. Lisa Marie Nystrom practices in Portland, OR and has the professional credentials of LPN. The NPI Number for Lisa Marie Nystrom is 1790254399 and holds a License No. 201806297LPN (Oregon).

The current practice location address for Lisa Marie Nystrom is 722 Ne 162Nd Ave, Portland, OR and can be reached out via phone at 503-239-8101 and via fax at 503-408-5201. You can also correspond with Lisa Marie Nystrom through the mailing address at 424 NE 22ND AVE, PORTLAND, OR - 97232-2809 (mailing address contact number: ).

Location: 722 Ne 162Nd Ave, Portland, OR, 97232-2809
person
Provider Profile Details
NPI Number
1790254399
Provider Name
Lisa Marie Nystrom
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
722 Ne 162Nd Ave, Portland, OR, 97232-2809
Phone Number
503-239-8101
Fax Number
503-408-5201
Provider Enumeration Date
11/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
722 Ne 162Nd Ave
City
State
Zip
97230-5760
Phone Number
503-239-8101
Fax Number
503-408-5201
person
Provider Business Mailing Address Details
Address
722 Ne 162Nd Ave
City
State
Zip
97230-5760
Phone Number
503-239-8101
Fax Number
503-408-5201
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
201806297LPN (Oregon)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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