Lacey Graham is a Specialist based in Portland, OR. Lacey Graham practices in Portland, OR. The NPI Number for Lacey Graham is 1629525290 and holds a License No. 22287 (Oregon).
The current practice location address for Lacey Graham is 1359 Ne 35Th Ave, Portland, OR and can be reached out via phone at 503-799-9405.
Location: 1359 Ne 35Th Ave, Portland, OR, 97232-1941
Provider Profile Details
NPI Number
1629525290
Provider Name
Lacey Graham
Credential
Provider Entity Type
Individual
Gender
Female
Address
1359 Ne 35Th Ave, Portland, OR, 97232-1941
Phone Number
503-799-9405
Fax Number
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
1359 Ne 35Th Ave
City
State
Zip
97232
Phone Number
503-799-9405
Fax Number
Provider Business Mailing Address Details
Address
1359 Ne 35Th Ave
City
State
Zip
97232
Phone Number
503-799-9405
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
22287 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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