Individual provider · Type 1 NPI
Shannon Lofstrom
Licensed Practical Nurse · Portland, OR
NPI number
1902318074
Active
Practice location
324 NW Davis St
Portland, OR 97209-3925
Mailing address
6628 SW Mayo St
Portland, OR 97223-1303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 09003099LPN (OR) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
72 other providers at this address
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About NPI 1902318074
Shannon Lofstrom's National Provider Identifier is 1902318074, issued on Oct 30, 2017. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Oct 30, 2017.