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Organization

TWO LANES LLC

Active
Other names
Armstrong Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE A LANE FNP-C (OWNER)
(503) 581-1198
Entity
Organization

Contact information

Practice address
1655 STATE ST, SALEM, OR 97301-4232
(503) 581-1198
(503) 339-9565
Mailing address
1655 STATE ST, SALEM, OR 97301-4232
(503) 581-1198
(503) 339-9565

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150144NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500653285
OR
Enumeration date
05/22/2012
Last updated
10/03/2022
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