Individual
LANA LANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9843
(503) 215-9810
Mailing address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9843
(503) 215-9810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M5193
OR
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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