Individual provider · Type 1 NPI

Brandon Keith Lane

Peer Specialist · Portland, OR

NPI number 1649048448 Active

Practice location

6828 SE Holgate Blvd
Portland, OR 97206-3504

Call (503) 332-4969 Map

Mailing address

3804 N Juneau St
Portland, OR 97217-7427

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: 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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About NPI 1649048448

Brandon Keith Lane's National Provider Identifier is 1649048448, issued on Dec 12, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Dec 12, 2023.