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1942568969
MICHAEL ALEXANDER LANE
PORTLAND, OR
NPI
1942568969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: OR MD177213)
Enumeration Date
2012-04-27
Last Update Date
2018-03-26
Business Address
MICHAEL ALEXANDER LANE M.D.
1040 NW 22ND AVE SUITE 420
PORTLAND, OR 97210-3057
Phone number: 503-963-3100
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Mailing Address
MICHAEL ALEXANDER LANE M.D.
PO BOX 3777
PORTLAND, OR 97208-3777
Phone number: 503-413-3900
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