JENNIFER ELISE LANE

PORTLAND, OR
NPI1649711821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD198642)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  A184250)
Enumeration Date2017-03-20
Last Update Date2023-07-11
Business Address
JENNIFER ELISE LANE M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
Mailing Address
JENNIFER ELISE LANE M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211