Individual
LACEY ANN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 FREEMAN RD STE B, CENTRAL POINT, OR 97502-2675
(541) 664-2800
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, PORTLAND, OR 97224-7736
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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