LACEY EVANS


Address: 2575 Westgate Bldg 1, Pendleton, OR 97801-9613
Phone: 5414298721

LACEY EVANS (NPI# 1609333632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609333632
Entity Type Individual
Full Name LACEY EVANS
Practice Address 2575 Westgate Bldg 1
Pendleton
OR 97801-9613
Mailing Address 3587 Heathrow Way
Medford
OR 97504-4004
Practice Telephone 5414298721
Practice Fax Number 5414298720
Mailing Telephone 5418588170
Mailing Fax Number 5418588167
Enumeration Date 2019-02-26
Last Update Date 2019-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
201808357RN OR Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
70362 Kunze Ln, Boardman, OR 978188013 5414813233 5414813234

Other Providers LACEY EVANS

NPI Name Taxonomy Address Enumeration
1467897769 Lacey Lee Evans Social Worker 2251 Bagdad Rd Ste 303, Cedar Park, TX 78613-6522 2013-05-01

Office Location

Street Address 2575 WESTGATE BLDG 1
City PENDLETON
State OR
Zip Code 97801-9613

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295072767 Kimberly Seavert Social Worker 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2013-01-03
1063076339 Haley A Young Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2019-04-23
1891265617 Mildred J Sims Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2018-12-05
1649740390 Rafael Bedolla Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2018-11-26
1134694003 James G Beardsley Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2018-10-08
1265927099 Jon Everett Young Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2018-06-25
1184123119 Jessamy J Otteson Registered Nurse 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2018-02-05
1619485364 Maria A Simpson Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2018-01-16
1902344559 Christopher Bounds Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2017-02-03
1285179515 Christina Moe Counselor 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2016-12-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720637119 Yvonne Walker Technician 821 Se 9th St, Pendleton, OR 97801 2019-09-09
1083262703 Praxis Medical Group Inc Family Medicine 2450 Sw Perkins Avenue, Pendleton, OR 97801 2019-08-27
1255826012 Cosmas Chukwuemeka Nwerem Jr. Pharmacist 1900 Sw Court Place, Pendleton, OR 97801 2018-06-25
1689166811 Helene Danielle Kuhn Counselor 4700 Nw Pioneer Pl, Pendleton, OR 97801 2018-06-04
1801302849 Shawna L. All Massage Therapist 24 Se Emigrant Ave., Pendleton, OR 97801 2017-12-27
1033649256 Sean Collins Pharmacist 203 Sw 20th St, Pendleton, OR 97801 2017-06-20
1073974796 Channon M Baker Peer Specialist 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 2016-03-08
1689034357 Carre Biegel Counselor 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 2016-02-24
1073995429 Jessica Suzanne Pedersen Massage Therapist 812 Nw 12th St, Pendleton, OR 97801 2015-06-22
1861736373 Christina Northern Northerhn Social Worker 331 Se 2nd Street, Pendleton, OR 97801 2012-11-21
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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952350563 Daniel E Eslinger Registered Nurse 125 Se 1st St, Pendleton, OR 97801-2203 2006-05-09
1992783849 Russell Aldous Kelley Registered Nurse 331 Se 2nd St, Pendleton, OR 97801-2224 2006-01-01
1184123119 Jessamy J Otteson Registered Nurse 2575 Westgate Bldg 1, Pendleton, OR 97801-9613 2018-02-05
1881142503 Juanita F Wood Registered Nurse 331 Se 2nd St, Pendleton, OR 97801-2224 2016-09-12
1194060855 Rachael Pallis Registered Nurse 331 Se 2nd Street, Pendleton, OR 97801 2012-12-06
1598959223 Risa Gayle Riggen Registered Nurse 331 Se 2nd St, Pendleton, OR 97801-2224 2007-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932747607 Kendall Clayton Karch Registered Nurse 30 Ne Mlk Jr Blvd, Portland, OR 97232-2941 2019-12-12
1003315045 Ryan Tateishi Registered Nurse 966 12th St Se Ste 110, Salem, OR 97302-2860 2018-02-05
1952815532 Shane Martin Registered Nurse 2110 Augusta St, Eugene, OR 97403-2202 2017-11-19
1811349160 Aleksey Maksimov Registered Nurse 4757 Parkview Dr Apt B, Lake Oswego, OR 97035-2426 2016-07-11
1366832461 Maria Liotta Shindler Registered Nurse 6201 Ne Carillion Dr, Hillsboro, OR 97124-8590 2015-01-27
1346651882 Holly Marie Matthews Registered Nurse 788 Saint Charles Pl, Hood River, OR 97031-8785 2014-05-19
1376987404 Helen Erika Horst Registered Nurse 2020 State Rd, Mosier, OR 97040 2013-04-19
1598013997 Trina Marie Espiasse Registered Nurse 47940 Sw Ihrig Rd, Forest Grove, OR 97116-7329 2012-08-16
1275810665 Esther Gabrielle Rosengarten Registered Nurse 1020 Sw Taylor St Ste 745, Portland, OR 97205-2505 2011-11-14
1336436823 Susan Elizabeth Stone Registered Nurse 19333 Sw Laurelhurst Way, Bend, OR 97702-3192 2011-07-05
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Competitor

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City PENDLETON
Zip Code 97801

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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