Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Elise Lane, MD

Individual provider Pediatrics Physician · NPI 1649711821

Jennifer Elise Lane, MD is a Pediatrics Physician in Portland, Oregon. Works from 2 locations. Licensed in California and Oregon.

Licensed in
CA, OR
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 West Pueblo, Santa Barbara, CA 93105-4353 — (805) 682-7111

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD198642 (OR)
Pediatrics Physician Taxonomy 208000000X · Licence A184250 (CA)

Record details

NPI number1649711821
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2017
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

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