Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Laura Alison Lyon, AGPCNP-C, APRN, MSN

Individual provider Nurse Practitioner · NPI 1619423886

Laura Alison Lyon, AGPCNP-C, APRN, MSN is a Nurse Practitioner in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Arkansas, Oregon and Wyoming.

Years since qualifying
10
Licensed in
AR, OR, WY
In the registry since
2016
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone: (503) 413-6862
Fax: (503) 255-8813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 201905155NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 41949.1830 (WY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence A004956 (AR)

Record details

NPI number1619423886
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-C , APRN , MSN
Sole proprietorNo
NPI enumeratedAugust 28, 2016
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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