Individual
NATHANAEL LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1120 SW 3RD AVE, PORTLAND, OR 97204-2828
(503) 988-4084
Mailing address
438 NE FARGO ST, PORTLAND, OR 97212-2141
(971) 271-4145
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
201241794RN
OR
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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