1. Home
  2. Directory
  3. Oregon
  4. Salem
  5. Peer Specialist
  6. NPI Profile

ANDRE LANE
NPI 1033951918
Peer Specialist in Salem, OR

Active since June 11, 2024
2995 RYAN DR SE STE 200, SALEM, OR 97301(503) 371-7701 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andre Lane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE LANE (NPI 1033951918) is an individual peer specialist in Salem, Oregon and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1033951918
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameANDRE LANE
Location Address2995 RYAN DR SE STE 200Salem, OR 97301-5157
Mailing Address2995 Ryan Dr Se Ste 200Salem, OR 97301-5157 · (503) 371-7701
Phone(503) 371-7701
Sole ProprietorNo
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1033951918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
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.
2995 RYAN DR SE STE 200, Salem, OR 97301
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMRA CHATWIN
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
MS. DINA ENRIQUEZ THW
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (971) 718-0305
JENNIFER A HEARN PSS
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 587-5151
KRYSTAL CHANTEL BUSHNELL PSS
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 967-1176
TERRA J HIBDON PPS
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
MRS. MINDI BURDICK FNP-C
Nurse Practitioner (Family)
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
NICHOLE CHRISTINE WINK PSS, THW, CRM
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701
JEREMY BREON
Peer Specialist
2995 RYAN DR SE STE 200
SALEM, OR 97301
Marion County (503) 371-7701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Lane's NPI number?

The NPI number for Andre Lane is 1033951918. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Andre Lane located?

Andre Lane practices at 2995 Ryan Dr SE Ste 200, Salem, OR 97301. The listed phone number is (503) 371-7701.

What is Andre Lane's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Andre Lane was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.