Individual
MISS LACEY MICHELLE LANKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2415 SE 43RD AVE, SUITE 100, PORTLAND, OR 97206-1600
(503) 238-0705
Mailing address
521 SW 11TH AVE, PORTLAND, OR 97205-2634
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
03/31/2008
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