LISA MARIE NYSTROM

PORTLAND, OR
NPI1790254399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201806297LPN)
Enumeration Date2018-11-13
Last Update Date2018-11-13
Business Address
Ms. LISA MARIE NYSTROM LPN
722 NE 162ND AVE
PORTLAND, OR 97230-5760
Phone number: 503-239-8101
Mailing Address
Ms. LISA MARIE NYSTROM LPN
424 NE 22ND AVE
PORTLAND, OR 97232-2809
Phone number:
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