Individual
LAURA ALISON LYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C, APRN, MSN
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-6862
(503) 255-8813
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
41949.1830
WY
363LA2200X
Adult Health Nurse Practitioner
A004956
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
201905155NP-PP
OR
Other
Enumeration date
08/28/2016
Last updated
07/20/2023
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