Individual provider · Type 1 NPI

Shanie Lane

Mental Health Counselor · Medford, OR

NPI number 1053201087 Active

Practice location

2559 Merriman Rd.
Medford, OR 97501

Call (541) 237-0053 Map

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053201087

Shanie Lane's National Provider Identifier is 1053201087, issued on Jul 9, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jul 9, 2025.