Individual provider · Type 1 NPI

Lacey Graham

Specialist · Portland, OR

NPI number 1629525290 Active

Practice location

1359 NE 35th Ave
Portland, OR 97232

Call (503) 799-9405 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X22287 (OR)

Specialist: 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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About NPI 1629525290

Lacey Graham's National Provider Identifier is 1629525290, issued on Sep 1, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Sep 1, 2016.