Individual
AUDREY LUNDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Mailing address
5100 S MACADAM AVE STE 200, PORTLAND, OR 97239-3827
(971) 202-5500
(971) 202-5555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201609120NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
201609120NP-PP
OR
Other
Enumeration date
11/18/2016
Last updated
10/10/2023
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