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

Lane Bodenhamer

Individual provider Counselor · NPI 1376357079

Lane Bodenhamer is a Counselor in Longview, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

720 14th Ave
Longview, WA 98632-2315
Phone: (360) 423-0203
Fax: (360) 577-0187
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61653671 (WA)

Record details

NPI number1376357079
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025
Mailing addressPo Box 1847, Longview, WA 98632-8140

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