Individual provider · Type 1 NPI
Lynnette Melissa Park, LPN
Licensed Practical Nurse · Portland, OR
NPI number
1922976331
Active
Practice location
6601 NE 78th Ct Ste A3
Portland, OR 97218-2823
Fax (503) 252-4027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.LP.61674856 (WA) |
| Licensed Practical Nurse Primary | 164W00000X | 10018595 (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.
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About NPI 1922976331
Lynnette Melissa Park, LPN's National Provider Identifier is 1922976331, issued on Oct 27, 2025. 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, 2025.