Individual provider · Type 1 NPI

Lucy Nusrala, P.A.-C

Physician Assistant · Portland, OR

NPI number 1821087891 Active

Practice location

4212 NE Broadway
Portland, OR 97213-1422

Call (503) 249-8787 Map

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01448 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1821087891

Lucy Nusrala, P.A.-C's National Provider Identifier is 1821087891, issued on Oct 20, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Portland, OR. The record was last updated on Jun 9, 2026.