Organization
LINKTHERAPY LLC
Active
Other names
Lacy Cooper
Organization subpart
No
Provider details
NPI number
Authorized official
LACY COOPER MS (THERAPIST)
(503) 508-5819
Entity
Organization
Contact information
Practice address
3880 SE 8TH AVE, SUITE 270, PORTLAND, OR 97202-3772
(503) 545-6798
Mailing address
3880 SE 8TH AVE, SUITE 270, PORTLAND, OR 97202-3772
(503) 545-6798
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C3445
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500671746
—
OR
Enumeration date
02/03/2014
Last updated
04/14/2017
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