Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | A119845 | CA |
Y | 207L00000X | Anesthesiologist | MD173299 | OR |
NPI | 1013221936 |
---|---|
Provider Name | Nathalie Lunden |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2010 |
Last Update Date | 23/06/2015 |