ANDRE LANE
NPI 1033951918
Peer Specialist in Salem, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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: July 19, 2026.

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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

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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.

NORTHWEST INTEGRATED PROVIDERS, INC

Clinic/Center (Multi-Specialty)