AUDREY LUNDIN AGPCNP NPI 1962945295

NPI Information

NPI: 1962945295
Provider Name: AUDREY LUNDIN, AGPCNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
5100 S MACADAM AVE STE 200
PORTLAND, OR
ZIP 97239
Phone: (971) 202-5500
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Audrey Lundin, AGPCNP is a gerontology nurse practitioner in Portland, OR with 14 years of experience. Audrey Lundin, AGPCNP NPI is 1962945295. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5100 S MACADAM AVE STE 200
PORTLAND, OR
ZIP 97239-827
Phone: (971) 202-5500
Fax: (971) 202-5555

The NPI 1962945295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/18/2016 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		201609120NP-PP	OREGON	No
2	363LG0600X	Nurse Practitioner	Gerontology	201609120NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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