Lynnette Melissa Park, LPN
Licensed Practical Nurse in Portland, OR. Individual provider (NPI-1).
NPI number1922976331
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1922976331
- Entity type
- Individual (NPI-1)
- Name
- Lynnette Melissa Park
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2025
- Certification date
- Oct 27, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 10018595 | OR | Yes |
| 164W00000X | Licensed Practical Nurse | LPN.LP.61674856 | WA |
Other names
- Lynnette Melissa Rosenfeld (Former Name)
Practice location
6601 Ne 78th Ct Ste A3Portland, OR 97218-2823
Phone 503-252-3949 · Fax 503-252-4027
Mailing address
6601 Ne 78th Ct Ste A3Portland, OR 97218-2823
Phone 503-252-3949 · Fax 503-252-4027
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All 207 Licensed Practical Nurse providers in Portland · All 48,847 providers in Portland
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