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NPI Code Detail

MEDICARE: MRS. KRISTIN REBECCA LANNING

MEDICARE:  MRS. KRISTIN REBECCA LANNING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorOR
2101Y00000XCounselorC3954OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588009534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN REBECCA LANNING
Provider Business Mailing Address
First Line : 7175 SW BEVELAND RD STE 200
Second Line :
City : TIGARD
State : OR
Zip : 97223-8665
Country : US
Telephone Number : 971-238-7449
Fax Number :
Provider Business Practice Location Address
First Line : 7175 SW BEVELAND RD STE 200
Second Line :
City : TIGARD
State : OR
Zip : 97223-8665
Country : US
Telephone Number : 971-238-7449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2013
Last Update Date : 09/10/2022

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Directions to “ MRS. KRISTIN REBECCA LANNING ” Practice Location

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