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1083010193
LACY COOPER
PORTLAND, OR
NPI
1083010193
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C3445)
Enumeration Date
2014-11-17
Last Update Date
2017-04-14
Business Address
-- LACY COOPER MS
3880 SE 8TH AVE SUITE 270
PORTLAND, OR 97202-3772
Phone number: 503-545-6798
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Mailing Address
-- LACY COOPER MS
8614 N PORTSMOUTH AVE
PORTLAND, OR 97203-5970
Phone number: 503-508-5819
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