Lacey, Rebecca

Lacey, Rebecca is an individual health care provider with primary practice located at 9555 Sw Barnes Rd Ste 301, Portland OR 97225-6663. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lacey, Rebecca can be contacted via phone (503) 297-3371.

Contact Information

Primary practice address
9555 Sw Barnes Rd Ste 301 Portland OR 97225-6663
Phone: (503) 297-3371
Fax: (503) 297-7975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD23772 Oregon

Profile Details

NPI number 1588606545
LBN Legal business name Lacey, Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588606545 NPPES
Washington MEDICAID 8371197
Washington MEDICAID 275538

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