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Two Lanes Llc
Family Nurse Practitioner in Salem, Oregon
NPI 1063772184

Two Lanes Llc is a Family Nurse Practitioner based in Salem, OR and is specialized in Family. Two Lanes Llc practices in Salem, OR. The NPI Number for Two Lanes Llc is 1063772184 and holds a License No. 201150144NP (Oregon).

The current practice location address for Two Lanes Llc is 1655 State St, Salem, OR and can be reached out via phone at 503-581-1198 and via fax at 503-339-9565.

Location: 1655 State St, Salem, OR, 97301-4232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063772184
Provider Name
Two Lanes Llc
Credential
Provider Entity Type
Organization
Address
1655 State St, Salem, OR, 97301-4232
Phone Number
503-581-1198
Fax Number
503-339-9565
Provider Enumeration Date
05/22/2012
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
500653285 05 OR
institution
Provider Business Practice Location Address Details
Address
1655 State St
City
Salem
State
Oregon
Zip
97301-4232
Phone Number
503-581-1198
Fax Number
503-339-9565
person
Provider Business Mailing Address Details
Address
1655 State St
City
Salem
State
Oregon
Zip
97301-4232
Phone Number
503-581-1198
Fax Number
503-339-9565
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
201150144NP (Oregon)
Definition
Definition to come...
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