Individual
MS. BARBARA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A
Contact information
Practice address
9750 NE GLISAN ST, PORTLAND, OR 97220-4449
(503) 256-3920
Mailing address
9750 NE GLISAN ST, PORTLAND, OR 97220-4449
(503) 256-3920
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7563
OR
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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