Individual
KAITLYN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I, QMHA
Contact information
Practice address
1010 5TH ST, OREGON CITY, OR 97045-2444
(503) 594-4750
Mailing address
1010 5TH ST, OREGON CITY, OR 97045-2444
(503) 954-1890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
10/09/2025
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