Individual
BRITTANY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6644 SE DAVID WAY, PRINEVILLE, OR 97754-7853
(425) 293-7166
Mailing address
6644 SE DAVID WAY, PRINEVILLE, OR 97754-7853
(425) 293-7166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R8256
OR
101YM0800X
Mental Health Counselor
Primary
C11394
OR
Other
Enumeration date
07/12/2023
Last updated
03/06/2026
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