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Individual

WILLIAM JOHN LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
149 BIRCH WOOD, EAGLE POINT, OR 97524-9717
(541) 890-7716

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1034519
OR

Other

Enumeration date
06/16/2008
Last updated
07/24/2008
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