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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LINDSEY M PRUYN, PA

Active

LINDSEY M PRUYN, PA is a Medical Physician Assistant healthcare provider located in SISTERS, Oregon. NPI 1699755512 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SISTERS, OR

Registration Details

NPI Number
1699755512
Provider Type
Individual
Gender
Female
NPI Issued
Jan 18, 2006 (20.608410419102 yrs)
Last Updated
Jul 1, 2022
Licenses
PA-462 (ID)
PA462 (ID)

Practice Information

Address
630 N ARROWLEAF TRL
SISTERS, OR, 977592610
Browse OR providers · Browse ZIP 97759
Phone
5415491318
Fax
5415886002
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.