Individual
MRS. LACY TAGHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2119 E PORTLAND RD, NEWBERG, OR 97132-1362
(231) 944-5104
Mailing address
915 E 9TH ST, NEWBERG, OR 97132-3555
(231) 944-5104
(503) 693-1153
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22350
OR
Other
Enumeration date
12/05/2016
Last updated
05/05/2025
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