Lane, Katherine Jean

Lane, Katherine Jean is an individual health care provider with primary practice located at 5135 Skyline Rd S , Salem OR 97306-9427. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Lane, Katherine Jean can be contacted via phone (541) 880-2090.

Contact Information

Primary practice address
5135 Skyline Rd S Salem OR 97306-9427
Phone: (541) 880-2090
Fax: (541) 880-2092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D8774 Oregon
Dental Providers / Pediatric Dentistry 1223P0221X D8774 Oregon

Profile Details

NPI number 1942357686
LBN Legal business name Lane, Katherine Jean
Credentials D.M.D, M.S.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jun 26th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942357686 NPPES
Oregon Other D8774 OREGON DENTIST LICENSE

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