MICHAEL ALEXANDER LANE (NPI# 1942568969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942568969 |
Entity Type | Individual |
Full Name | MICHAEL ALEXANDER LANE |
Credential | M.D. |
Practice Address |
1040 Nw 22nd Ave Suite 420 Portland OR 97210-3057 |
Mailing Address |
Po Box 3777 Portland OR 97208-3777 |
Practice Telephone | 5039633100 |
Practice Fax Number | 5034595398 |
Mailing Telephone | 5034133900 |
Mailing Fax Number | 5034133710 |
Enumeration Date | 2012-04-27 |
Last Update Date | 2018-03-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD177213 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500708914 | 05 | |
WA | 2059497 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104344795 | Michael Carrington Lane | Occupational Therapy Assistant | 550 White Plains Rd, Eastchester, NY 10709-5506 | 2017-09-02 |
1376637116 | Michael Conrad Lane | Chiropractor | 871 East 100 South, Salt Lake City, UT 84102 | 2006-10-03 |
1073573465 | Michael W. Lane | Specialist | 5035 W. 71st St., Ste E, Indianapolis, IN 46228 | 2006-03-28 |
1962042358 | Michael James Lane | Specialist/Technologist | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2020-01-13 |
1801357447 | Michael Lane | Nurse Practitioner | 4417 Vestal Pkwy E, Vestal, NY 13850-3556 | 2019-03-27 |
1891259503 | Michael Lane | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2019-01-27 |
1073007159 | Michael Lane | Family Medicine | 1900 Columbus Ave, Bay City, MI 48708 | 2018-06-21 |
1992259949 | Michael Lane | Physical Therapist | 1201 N Cummings Ln, Washington, IL 61571-9267 | 2016-08-08 |
1679923353 | Michael Lane | Counselor | 9719 Lincoln Village Dr, Suite 300, Sacramento, CA 95827-3303 | 2016-06-14 |
1447664859 | Michael Lindberg Lane | Hospitalist | 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0002 | 2014-06-13 |
Street Address |
1040 NW 22ND AVE SUITE 420 |
City | PORTLAND |
State | OR |
Zip Code | 97210-3057 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093717852 | Raylene Dianne Coleman | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 420, Portland, OR 97210-3057 | 2005-08-11 |
1386204980 | Dorian Ariel Zeidenweber | Student in an Organized Health Care Education/Training Program | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2019-06-17 |
1982194429 | Katherine Crawford | Dietitian, Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2018-05-10 |
1720537111 | Legacy Health | General Acute Care Hospital | 1040 Nw 22nd Ave, Suite 110, Portland, OR 97210-3057 | 2016-09-26 |
1053779801 | Tasha Nicole Searles | Clinical Nurse Specialist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2016-02-08 |
1497120380 | Martha Rissmiller | Physical Therapist | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3057 | 2015-12-03 |
1427436971 | Claire Hanway | Nurse Practitioner | 1040 Nw 22nd Ave, Suite 520, Portland, OR 97210-3026 | 2015-05-15 |
1629401963 | Pui Yi Boey | Ophthalmology | 1040 Nw 22nd Ave, Suite #200, Portland, OR 97210-3057 | 2013-08-09 |
1366783631 | David Larson Demill | Ophthalmology | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2013-03-11 |
1639414410 | Dewi Kae De Jarnett | Nurse Anesthetist, Certified Registered | 1040 Nw 22nd Ave, Portland, OR 97210-3057 | 2012-12-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
Find all providers in zip 97210 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750739132 | Neil William Douglas Thomas | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr131, Oregon Health and Science University, Portland, OR 97239 | 2016-05-26 |
1205283462 | Candice Kam | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Road, Cr-131s, Portland, OR 97239 | 2016-05-18 |
1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
1831460377 | Dennis B Smith | Psychiatry & Neurology | 827 Nw 25th Ave, Portland, OR 97210-3808 | 2012-01-13 |
1184883381 | Michelle Hannah Cameron | Psychiatry & Neurology | 3181 Sw Sam Jackson Park Rd # L226, Portland, OR 97239-3011 | 2008-06-03 |
1043484801 | Aimee Lucinda Pierce | Psychiatry & Neurology | 3303 Sw Bond Ave Ste 8, Portland, OR 97239-4501 | 2008-04-14 |
1083800106 | Alyson Maloy | Psychiatry & Neurology | 449 Forest Ave # 214, Portland, ME 04101-2029 | 2007-09-21 |
1164647061 | Matthew Michael Evans | Psychiatry & Neurology | 5050 Ne Hoyt St Ste 315, Portland, OR 97213-2982 | 2007-04-16 |
1477670255 | Vivek Unni | Psychiatry & Neurology | Chh, 3303 S.w. Bond Ave., Portland, OR 97239 | 2007-03-25 |
1780711135 | Holly Elaine Hinson | Psychiatry & Neurology | 3181 S.w. Sam Jackson Park Road, Cr-129, Portland, OR 97239 | 2007-02-27 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.