IndividualActive
Brian Lane, M.D.
NPI 1073540118 · Emergency Medicine Physician · Prineville, OR
Provider details
- NPI number
- 1073540118
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD19148 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1201 N Elm
Prineville, OR 97754
Phone: (541) 447-6254
Approximate (ZIP-level) locationGet directions
Mailing address
11436 Brian Ln Ne
Poulsbo, WA 98370-7919
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2008-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.