Individual provider · Type 1 NPI
Lacey Evans, APRN
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1609333632
Active
Practice location
12636 SE Stark St Bldg J
Portland, OR 97233-1058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 201808357RN (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61275118 (WA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202202396NP-PP (OR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609333632
Lacey Evans, APRN's National Provider Identifier is 1609333632, issued on Feb 26, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jan 25, 2024.