Individual provider · Type 1 NPI

Lynette Christine Spjut, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1962694976 Active

Practice location

1111 NE 99th Ave Ste 200
Portland, OR 97220-9442

Fax (503) 963-3140

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA60072217 (WA)
Medical Physician Assistant Primary 363AM0700XPA01462 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1962694976

Lynette Christine Spjut, PA-C's National Provider Identifier is 1962694976, issued on Aug 14, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Nov 21, 2023.