NICOLE LANE

GRESHAM, OR
NPI1063745453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OR  2000940759RN)
Enumeration Date2009-09-16
Last Update Date2009-09-16
Business Address
-- NICOLE LANE RN
1616 NE 16TH WAY APT 308
GRESHAM, OR 97030-4272
Phone number: 503-492-4903
Mailing Address
-- NICOLE LANE RN
1616 NE 16TH WAY APT 308
GRESHAM, OR 97030-4272
Phone number: 503-492-4903
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