Individual
CONNOR LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8041 E BURNSIDE ST, PORTLAND, OR 97215-1548
(503) 252-3304
(503) 254-6396
Mailing address
21600 OXNARD ST., SUITE 1800, WOODLAND HILLS, CA 91367
(818) 345-2345
(818) 449-0994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
10173234
OR
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
02/08/2019
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