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Alexander Gene Lane
Peer Specialist in Siletz, Oregon
NPI 1316711708

Alexander Gene Lane is a Peer Specialist based in Siletz, OR. Alexander Gene Lane practices in Siletz, OR. The NPI Number for Alexander Gene Lane is 1316711708 and holds a License No. (Oregon).

The current practice location address for Alexander Gene Lane is 200 Gwee Shut Rd, Siletz, OR and can be reached out via phone at 541-270-8830.

Location: 200 Gwee Shut Rd, Siletz, OR, 97380-2036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316711708
Provider Name
Alexander Gene Lane
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 Gwee Shut Rd, Siletz, OR, 97380-2036
Phone Number
541-270-8830
Fax Number
Provider Enumeration Date
11/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Gwee Shut Rd
City
Siletz
State
Oregon
Zip
97380-2036
Phone Number
541-270-8830
Fax Number
person
Provider Business Mailing Address Details
Address
200 Gwee Shut Rd
City
Siletz
State
Oregon
Zip
97380-2036
Phone Number
541-270-8830
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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