KAITLYN LANE

PORTLAND, OR
NPI1952141210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-05-24
Last Update Date2024-05-24
Business Address
KAITLYN LANE
1122 NE 122ND AVE STE A200
PORTLAND, OR 97230-2083
Phone number: 503-594-4750
Mailing Address
KAITLYN LANE
4647 SE 40TH AVE APT 103
PORTLAND, OR 97202-4097
Phone number: 208-440-9564
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