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Connor Lane
NPI 1225495385 · on the registry since 2016
Practice
- Address
- 8041 E Burnside St
Portland, OR 97215 - Phone
- (503) 252-3304
- Fax
- (503) 254-6396
- Clinicians at this address
- 25
Additional practice sites
- 6400 Sw Rosewood St., Portland (Lake Oswego), OR
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 103K00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon