Provider Demographics
NPI:1831981810
Name:MCFARLAND, LYNN INGRAM (MBA, PMH-C)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:INGRAM
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MBA, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6230 SE STEELE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97206-5460
Mailing Address - Country:US
Mailing Address - Phone:503-888-6489
Mailing Address - Fax:
Practice Address - Street 1:6230 SE STEELE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97206-5460
Practice Address - Country:US
Practice Address - Phone:503-888-6489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1310363-94405300000X, 305S00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No405300000XOther Service ProvidersPrevention Professional
No305S00000XManaged Care OrganizationsPoint of Service