ANDRE LANE

SALEM, OR
NPI1033951918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2024-06-11
Last Update Date2024-06-11
Business Address
ANDRE LANE
2995 RYAN DR SE STE 200
SALEM, OR 97301-5157
Phone number: 503-371-7701
Mailing Address
ANDRE LANE
2995 RYAN DR SE STE 200
SALEM, OR 97301-5157
Phone number: 503-371-7701