Lane, Katherine Jean
Lane, Katherine Jean is an individual health care provider with primary practice located at 5135 Skyline Rd S , Salem OR 97306-9427. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Lane, Katherine Jean can be contacted via phone (541) 880-2090.Contact Information
Primary practice address
5135 Skyline Rd S
Salem OR 97306-9427
Phone: (541) 880-2090
Fax: (541) 880-2092
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | D8774 | Oregon |
Dental Providers / Pediatric Dentistry | 1223P0221X | D8774 | Oregon |
Profile Details
NPI number | 1942357686 |
---|---|
LBN Legal business name | Lane, Katherine Jean |
Credentials | D.M.D, M.S.D |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2007 |
Last updated | Jun 26th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942357686 | NPPES |
Oregon | Other | D8774 | OREGON DENTIST LICENSE |
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