NATHAN GREY LYSTRUP F.N.P.
NPI 1659825651
Nurse Practitioner - Family in Boardman, OR

Active since August 08, 2016
450 TATONE ST, BOARDMAN, OR 97818(541) 481-7212(541) 481-2020 Get Directions Write a Review

NPPES record last updated: August 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathan Grey Lystrup F.n.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN GREY LYSTRUP F.N.P. (NPI 1659825651) is an individual family provider in Boardman, Oregon, licensed in Oregon (201605983NP-PP) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1659825651
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameNATHAN GREY LYSTRUPCredential: F.N.P.
Location Address450 TATONE STBoardman, OR 97818-8076
Mailing Address1967 Ne 2nd StHermiston, OR 97838-1721 · (702) 596-4157
Fax(541) 481-2020
Sole ProprietorYes
Enumeration DateAugust 8, 2016
NPI 1659825651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OR · 201605983NP-PP
Also ListedRegistered NurseTaxonomy 163W00000X · License 201605982RN (OR)
450 TATONE ST, Boardman, OR 97818

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
450 TATONE ST
BOARDMAN, OR 97818
Nurse Practitioner (Family)
450 TATONE ST
BOARDMAN, OR 97818
Physician Assistant
450 TATONE ST
BOARDMAN, OR 97818
Family Medicine
450 TATONE ST
BOARDMAN, OR 97818
Nurse Practitioner (Family)
450 TATONE ST
BOARDMAN, OR 97818
Community Health Worker
450 TATONE ST
BOARDMAN, OR 97818
Nurse Practitioner (Family)
450 TATONE ST
BOARDMAN, OR 97818
Family Medicine
450 TATONE ST
BOARDMAN, OR 97818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Lystrup's NPI number?

The NPI number for Nathan Lystrup is 1659825651. It was assigned to this individual provider in the NPPES registry on August 8, 2016.

Where is Nathan Lystrup located?

Nathan Lystrup practices at 450 Tatone St, Boardman, OR 97818. The listed phone number is (541) 481-7212.

What is Nathan Lystrup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nathan Lystrup was last updated on August 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.