Jennifer Elise Lane
M.D. | Pediatrics | Female
Jennifer Elise Lane, M.D. is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jennifer Elise Lane is
3181 Sw Sam Jackson Park Rd, Portland, Oregon - 97239-3011. She can be contacted on phone at
503-494-8211.
Jennifer Elise Lane is a sole proprietor of her business.
NPI number (Unique professional ID) for Jennifer Elise Lane is
1649711821 which was assigned by NPPES on 20 Mar, 2017 and it was last updated on 05 Jun, 2020.
Jennifer Elise Lane license number is
MD198642 for Pediatrics (208000000X) in Oregon.
Jennifer Elise Lane is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jennifer Elise Lane basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Jennifer Elise Lane |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Jennifer Elise Lane address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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| Phone Number : | 503-494-8211 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1649711821 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Mar, 2017 |
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| Last Updated On : | 05 Jun, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Elise Lane are as mentioned. Primary taxonomy code for Jennifer Elise Lane, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD198642 | OR |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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| Phone Number : | 503-494-8211 |
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Business Location:
Patients can refer following map for directions to
Jennifer Elise Lane practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.