Individual
MS. LYNNE ANNE LUDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, MHICM - P3, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
17449 NW LONE ROCK DR, PORTLAND, OR 97229-8513
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150096NP
OR
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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