IndividualActive
Audrey Lundin, AGPCNP
NPI 1962945295 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1962945295
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- No
- License
- 201609120NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing 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
Additional practice locations (2)
- 5933 Ne Win Sivers Dr Ste 305Portland, OR 97220-9106Phone: (503) 420-5852
- 9020 Sw Washington Square Rd Ste 100Tigard, OR 97223-4435Phone: (503) 420-5852
Registry dates
- Enumerated
- 2016-11-18
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.