Provider Demographics
NPI:1083495584
Name:ELZINGA WEEKES, LYNZY LONETTE (DNP)
Entity Type:Individual
Prefix:
First Name:LYNZY
Middle Name:LONETTE
Last Name:ELZINGA WEEKES
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:ELZINGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5609 NE 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-7407
Mailing Address - Country:US
Mailing Address - Phone:503-706-1796
Mailing Address - Fax:
Practice Address - Street 1:3377 RIVERBEND DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-8803
Practice Address - Country:US
Practice Address - Phone:503-706-1796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10016787363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care