IndividualActive
Nicole Lane, RN
NPI 1063745453 · Critical Care Medicine Registered Nurse · Gresham, OR
Provider details
- NPI number
- 1063745453
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2000940759RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
1616 Ne 16th Way
Apt 308
Gresham, OR 97030-4272
Phone: (503) 492-4903
Approximate (ZIP-level) locationGet directions
Mailing address
1616 Ne 16th Way
Gresham, OR 97030-4272
Registry dates
- Enumerated
- 2009-09-16
- Last updated
- 2009-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.