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TWO LANES LLC NPI 1063772184


NPI Information

NPI: 1063772184
Provider Name: TWO LANES LLC

Doing Business As: ARMSTRONG WELLNESS

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 38D2051086

Address:
1655 STATE ST
SALEM, OR
ZIP 97301
Phone: (503) 581-1198
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TWO LANES LLC is a family nurse practitioner in Salem, OR. TWO LANES LLC NPI is 1063772184. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Armstrong Wellness.

The provider's business location address is:

1655 STATE ST
SALEM, OR
ZIP 97301-232
Phone: (503) 581-1198
Fax: (503) 339-9565

The provider's authorized official is Michelle A Lane .
The authorized official title is Owner and has the following contact phone number (503) 581-1198.

The CLIA number assigned to this NPI record is 38D2051086 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2012 and was last updated on 10/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily201150144NPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500653285MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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