Individual provider · Type 1 NPI

Lacey Nichole Boyd-Dale, THW

Peer Specialist · Redmond, OR

NPI number 1831096130 Active

Practice location

2326 SW Glacier Pl
Redmond, OR 97756-7626

Call (541) 516-0669 Map

Fax (541) 316-8959

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X118422 (OR)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1831096130

Lacey Nichole Boyd-Dale, THW's National Provider Identifier is 1831096130, issued on Oct 21, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Redmond, OR. The record was last updated on Oct 21, 2026.