Dobrunick, Lyn B
Dobrunick, Lyn B is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N40 , Portland OR 97213-2933. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dobrunick, Lyn B can be contacted via phone (503) 215-5696.Contact Information
Primary practice address
4805 Ne Glisan St Ste 6N40
Portland OR 97213-2933
Phone: (503) 215-5696
Fax: (503) 215-5695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200050049NP | Oregon |
Profile Details
| NPI number | 1013909142 |
|---|---|
| LBN Legal business name | Dobrunick, Lyn B |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Oct 2nd, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013909142 | NPPES |
| Oregon | MEDICAID | 287381 |
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