Individual
MS. LISA MARIE NYSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 239-8101
(503) 408-5201
Mailing address
424 NE 22ND AVE, PORTLAND, OR 97232-2809
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201806297LPN
OR
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us