SEAN LACY

PORTLAND, OR
NPI1629310792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2013-03-26
Last Update Date2014-04-15
Business Address
-- SEAN LACY
847 NE 19TH AVE
PORTLAND, OR 97232-2684
Phone number: 503-238-0769
Mailing Address
-- SEAN LACY
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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