Individual
DR. CHERYL LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
11450 SW CARDINAL TER, BEAVERTON, OR 97008-5959
(503) 312-2873
Mailing address
11450 SW CARDINAL TER, BEAVERTON, OR 97008-5959
(503) 312-2873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R8063
OR
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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