Lynaudry Vickers, PMHNP | |
202 Nw 13th Ave, Portland, OR 97209-2953 | |
(503) 684-8252 | |
Not Available |
Full Name | Lynaudry Vickers |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 202 Nw 13th Ave, Portland, Oregon |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992358493 | NPI | - | NPPES |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Precision Mental Performance Llc | 2062751357 | 9 |
Entity Name | Precision Mental Performance Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780166116 PECOS PAC ID: 2062751357 Enrollment ID: O20190304002804 |
Mailing Address | Practice Location Address |
---|---|
Lynaudry Vickers, PMHNP 202 Nw 13th Ave, Portland, OR 97209-2953 Ph: () - | Lynaudry Vickers, PMHNP 202 Nw 13th Ave, Portland, OR 97209-2953 Ph: (503) 684-8252 |
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