IndividualActive
Lisa Nystrom, LPN
NPI 1790254399 · Licensed Practical Nurse · Portland, OR
Lisa Nystrom, LPN is a Licensed Practical Nurse provider in Portland, OR (NPI 1790254399).
Provider details
- NPI number
- 1790254399
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 201806297LPN (OR)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
722 Ne 162nd Ave
Portland, OR 97230-5760
Phone: (503) 239-8101
Fax: (503) 408-5201
Street-level locationGet directions
Mailing address
424 Ne 22nd Ave
Portland, OR 97232-2809
Registry dates
- Enumerated
- 2018-11-13
- Last updated
- 2018-11-13
Frequently asked questions
- What is Lisa Nystrom's NPI number?
- Lisa Nystrom's National Provider Identifier (NPI) is 1790254399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Nystrom's specialty?
- Lisa Nystrom is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Lisa Nystrom located?
- Lisa Nystrom's practice location on file with NPPES is 722 Ne 162nd Ave, Portland, OR 97230-5760.
- What is Lisa Nystrom's phone number?
- The practice phone number listed in the NPPES registry for Lisa Nystrom is (503) 239-8101.
- Is Lisa Nystrom's NPI active?
- Yes — Lisa Nystrom's NPI (1790254399) is active in the NPPES registry as of the last update on 2018-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.