person
Lacey Evans, APRN
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1609333632

Lacey Evans is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. Lacey Evans practices in Portland, OR and has the professional credentials of APRN. The NPI Number for Lacey Evans is 1609333632 and holds a License No. 201808357RN (Oregon).

The current practice location address for Lacey Evans is 12636 Se Stark St Bldg J, Portland, OR and can be reached out via phone at 503-233-4600.

Location: 12636 Se Stark St Bldg J, Portland, OR, 97233-1058
person
Provider Profile Details
NPI Number
1609333632
Provider Name
Lacey Evans
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
12636 Se Stark St Bldg J, Portland, OR, 97233-1058
Phone Number
503-233-4600
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12636 Se Stark St Bldg J
City
State
Zip
97233-1058
Phone Number
503-233-4600
Fax Number
person
Provider Business Mailing Address Details
Address
12636 Se Stark St Bldg J
City
State
Zip
97233-1058
Phone Number
503-233-4600
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP61275118 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
201808357RN (Oregon)
Definition
Definition to come...
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