Individual
LYNETTE MICHELLE BOETTGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4531 SE BELMONT ST, STE 100, PORTLAND, OR 97215-1675
(503) 215-9800
Mailing address
3939 SW BOND AVE, 411, PORTLAND, OR 97239-4706
(503) 437-4550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20113016LPN
OR
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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