Andre Lane

NPI #1033951918 in Salem, Oregon

Provider Information

NPI Number: 1033951918
Entity Type: Individual
Name: Andre Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 11, 2024
Last Updated: Jun 11, 2024

Practice Location

Address: 2995 RYAN DR SE STE 200
City: Salem
State: Oregon
ZIP Code: 97301-5157
Phone: (503) 371-7701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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