Individual
LYNNETTE MELISSA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
(503) 252-4027
Mailing address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
(503) 252-4027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10018595
OR
164W00000X
Licensed Practical Nurse
LPN.LP.61674856
WA
Other
Enumeration date
10/27/2025
Last updated
10/30/2025
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