Individual
LYDIA C WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 708-0523
(844) 813-1588
Mailing address
PO BOX 239, ASTORIA, OR 97103-0239
(503) 325-8315
(503) 325-8602
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250017NP
OR
363LF0000X
Family Nurse Practitioner
N360257589
WA
363LF0000X
Family Nurse Practitioner
SP011437
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231893
—
OR
Enumeration date
10/28/2011
Last updated
07/21/2022
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