LACEY EVANS

PORTLAND, OR
NPI1609333632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202202396NP-PP)
Additional Taxonomies163WP0808X Registered Nurse, Psych/Mental Health
(Licence: OR  201808357RN)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61275118)
Enumeration Date2019-02-26
Last Update Date2024-01-25
Business Address
LACEY EVANS APRN
12636 SE STARK ST BLDG J
PORTLAND, OR 97233-1058
Phone number: 503-233-4600
Mailing Address
LACEY EVANS APRN
12636 SE STARK ST BLDG J
PORTLAND, OR 97233-1058
Phone number: 503-253-4600