Most Relevant Information
Provider Data
| NPI Number: | 1003557349 |
| Provider Name: | LANE WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2022 |
| Last Updated: | 09/04/2024 |
Provider Practice Location
11782 SW BARNES RD
PORTLAND
OR
972255914
Practice Location Phone/Fax
| Phone: | 5039064323 |
| Fax: | 5039064333 |
Provider Mailing Location
11782 SW BARNES RD
PORTLAND
OR
972255914
Provider Mailing Phone/Fax
| Phone: | 5039064323 |
| Fax: | 5039064333 |