Individual provider · Type 1 NPI

Audrey Lundin, AGPCNP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1962945295 Active

Practice location

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827

Fax (971) 202-5555

Other practice locations

  • 9020 SW Washington Square Rd Ste 100, Tigard, OR 97223-4435 · (503) 420-5852
  • 5933 NE Win Sivers Dr Ste 305, Portland, OR 97220-9106 · (503) 420-5852

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X201609120NP-PP (OR)
Gerontology Nurse Practitioner Primary 363LG0600X201609120NP-PP (OR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1962945295

Audrey Lundin, AGPCNP's National Provider Identifier is 1962945295, issued on Nov 18, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Oct 10, 2023.