Individual
JANE DOLSON LANUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.N.P.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-1542
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-1542
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
202101758NP-PP
OR
363LN0000X
Neonatal Nurse Practitioner
AP60326428
WA
363LN0000X
Neonatal Nurse Practitioner
F350330-1
NY
Other
Enumeration date
08/24/2011
Last updated
10/23/2021
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