Lacy, John
Lacy, John is an individual health care provider with primary practice located at 17640 Ne Halsey St , Portland OR 97230-6733. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lacy, John can be contacted via phone (503) 489-5045.Contact Information
Primary practice address
17640 Ne Halsey St
Portland OR 97230-6733
Phone: (503) 489-5045
Fax: (503) 489-5638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | PROFESSIONALLICENSE |
Profile Details
| NPI number | 1003431362 |
|---|---|
| LBN Legal business name | Lacy, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2020 |
| Last updated | Jun 5th, 2024 - about 2 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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