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NICOLE LANE RN
NPI 1063745453
Registered Nurse - Critical Care Medicine in Gresham, OR

Active since September 16, 2009
1616 NE 16TH WAY, APT 308, GRESHAM, OR 97030(503) 492-4903 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Nicole Lane Rn NPPES

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

NICOLE LANE RN (NPI 1063745453) is an individual critical care medicine provider in Gresham, Oregon, licensed in Oregon (2000940759RN) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1063745453
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameNICOLE LANECredential: RN
Location Address1616 NE 16TH WAY, APT 308Gresham, OR 97030-4272
Mailing Address1616 Ne 16th Way, Apt 308Gresham, OR 97030-4272 · (503) 492-4903
Phone(503) 492-4903
Sole ProprietorYes
Enumeration DateSeptember 16, 2009
✔ NPI 1063745453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in OR · 2000940759RN
1616 NE 16TH WAY, Gresham, OR 97030
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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 Nicole Lane's NPI number?

The NPI number for Nicole Lane is 1063745453. It was assigned to this individual provider in the NPPES registry on September 16, 2009.

Where is Nicole Lane located?

Nicole Lane practices at 1616 NE 16th Way Apt 308, Gresham, OR 97030. The listed phone number is (503) 492-4903.

What is Nicole Lane's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.

When was this NPI record last updated?

The NPPES record for Nicole Lane was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.