Individual provider · Type 1 NPI
Lynn Ellis Eastes, ACNP
Acute Care Nurse Practitioner · Portland, OR
NPI number
1609881101
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
14210 SE 22nd Cir
Vancouver, WA 98683-8400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 089006048N0 (OR) |
| Acute Care Nurse Practitioner | 363LA2100X | 089006048RN (OR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1609881101
Lynn Ellis Eastes, ACNP's National Provider Identifier is 1609881101, issued on Jul 31, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.