IndividualActive
Kyla Lindberg, AGNP-C
NPI 1356744247 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1356744247
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10030449 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Phone: (971) 202-5500
Fax: (971) 202-5555
Approximate (ZIP-level) locationGet directions
Mailing address
5100 S Macadam Ave Ste 200
Portland, OR 97239-3827
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 2025-03-20
- Certified
- 2025-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.