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

Mrs. Mary Kathleen Lane, PA-C

Individual provider Medical Physician Assistant · NPI 1083738595

Mrs. Mary Kathleen Lane, PA-C is a Physician Assistant in Lebanon, Oregon. Qualified in 1995, 31 years ago. Practices with Mid-Valley Healthcare Inc, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois and Oregon.

Years since qualifying
31
Licensed in
IL, OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

325 Park St
Lebanon, OR 97355-4229
Phone: (541) 451-7200
Fax: (541) 451-7207
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01341 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085-000746 (IL)

Record details

NPI number1083738595
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 19, 2007
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Mid-Valley Healthcare Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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