Individual
DR. JENNIFER JOY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PPV 250, PORTLAND, OR 97239-3011
(503) 494-5171
(503) 494-4631
Mailing address
3181 SW SAM JACKSON PARK RD, PPV 250, PORTLAND, OR 97239-3011
(503) 494-5171
(503) 494-4631
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22451
OR
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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