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1659770667
COURTNEY LACKEY
PORTLAND, OR
NPI
1659770667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: OR 013431)
Enumeration Date
2014-08-14
Last Update Date
2014-08-14
Business Address
-- COURTNEY LACKEY M.S., CCC-SLP
17762 NW COUNTRY DR
PORTLAND, OR 97229-8541
Phone number: 503-946-5375
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Mailing Address
-- COURTNEY LACKEY M.S., CCC-SLP
7030 SW 174TH AVE
BEAVERTON, OR 97007-6403
Phone number: 503-507-0461
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