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Contact Information

JODI LANE
2600 SE 170TH AVE
PORTLAND, OR97236-1213
 Phone: 971-201-0209
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Hospital

282E00000X A0[7] Hospital-Long-Term (PPS excluded)
Indicates primary specialty

NPI Profile & details for JODI LANE · (Female)

NPI Number 1437508686
Status Active
Credentials
Entity Individual
Enumeration date 06/08/2016
Last updated 06/08/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 548388
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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