JODI LANE

PORTLAND, OR
NPI1437508686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy282E00000X Long Term Care Hospital
(Licence: OR  548388)
Enumeration Date2016-06-08
Last Update Date2016-06-08
Business Address
JODI LANE
2600 SE 170TH AVE
PORTLAND, OR 97236-1213
Phone number: 971-201-0209
Mailing Address
JODI LANE
2600 SE 170TH AVE
PORTLAND, OR 97236-1213
Phone number: 971-201-0209
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