Individual
MS. KYLA BRYN LINDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201402762RN
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
10030449
OR
Other
Enumeration date
10/06/2014
Last updated
03/20/2025
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