Provider Demographics
NPI:1255339669
Name:STRAND, LYNN J (DMD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:J
Last Name:STRAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 A AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97034-3056
Mailing Address - Country:US
Mailing Address - Phone:503-636-3383
Mailing Address - Fax:503-635-8632
Practice Address - Street 1:320 A AVE
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97034-3056
Practice Address - Country:US
Practice Address - Phone:503-636-3383
Practice Address - Fax:503-635-8632
Is Sole Proprietor?:No
Enumeration Date:2005-07-09
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD63041223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics