Lane, Michael Alexander

Lane, Michael Alexander is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Lane, Michael Alexander can be contacted via phone (503) 963-3100.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 420 Portland OR 97210-3057
Phone: (503) 963-3100
Fax: (503) 459-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD177213 Oregon

Profile Details

NPI number 1942568969
LBN Legal business name Lane, Michael Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Mar 26th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942568969 NPPES
Washington MEDICAID 2059497
Washington MEDICAID 500708914

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