Brandon Keith Lane - Portland, OR

Brandon Keith Lane

Peer Specialist in Portland, Oregon

NPI 1649048448

Brandon Keith Lane is a Peer Specialist based in Portland, OR. Brandon Keith Lane practices in Portland, OR. The NPI Number for Brandon Keith Lane is 1649048448 and holds a License No. (Oregon).

The current practice location address for Brandon Keith Lane is 6828 Se Holgate Blvd, Portland, OR and can be reached out via phone at 503-332-4969.

Location: 6828 Se Holgate Blvd, Portland, OR, 97217-7427

NPI Number

1649048448

Provider Name

Brandon Keith Lane

Credential

Provider Entity Type

Individual

Gender

Male

Address

6828 Se Holgate Blvd, Portland, OR, 97217-7427

Phone Number

503-332-4969

Fax Number

Provider Enumeration Date

12/12/2023

Last Update Date

03/10/2024

Address

6828 Se Holgate Blvd

City

Portland

State

Oregon

Zip

97206-3504

Phone Number

503-332-4969

Fax Number

Address

6828 Se Holgate Blvd

City

Portland

State

Oregon

Zip

97206-3504

Phone Number

503-332-4969

Fax Number

Type

Other Service Providers

Classification

Peer Specialist

Speciality

Taxonomy

175T00000X

License No.

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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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