Provider Demographics
NPI:1447700547
Name:AKER, LYNN
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:AKER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:LYNDA
Other - Middle Name:
Other - Last Name:AKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:11525 SW BEL AIRE LN
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-5911
Mailing Address - Country:US
Mailing Address - Phone:503-621-7726
Mailing Address - Fax:
Practice Address - Street 1:11525 SW BEL AIRE LN
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-5911
Practice Address - Country:US
Practice Address - Phone:503-621-7726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12269174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist