Provider Demographics
NPI:1871557983
Name:FROST, LYNNE A (ARNP, DNP, CPNP)
Entity type:Individual
Prefix:DR
First Name:LYNNE
Middle Name:A
Last Name:FROST
Suffix:
Gender:F
Credentials:ARNP, DNP, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-1862
Mailing Address - Country:US
Mailing Address - Phone:541-399-3602
Mailing Address - Fax:
Practice Address - Street 1:24850 SE STARK ST
Practice Address - Street 2:SUITE 150
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030-8318
Practice Address - Country:US
Practice Address - Phone:503-491-0714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200150073NP163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH23YP05237NH01OtherBLUE SHIELD PROVIDER NUMB