LACEY LEE HOLLAND (NPI# 1992113039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992113039 |
| Entity Type | Individual |
| Full Name | LACEY LEE HOLLAND |
| Credential | LMT |
| Practice Address |
7440 Sw Hunziker St Ste B Tigard OR 97223-8243 |
| Practice Telephone | 5035989889 |
| Mailing Telephone | 5035989889 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 19764 | OR | Other Service Providers |
| Street Address |
7440 SW HUNZIKER ST STE B |
| City | TIGARD |
| State | OR |
| Zip Code | 97223-8243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760042618 | Tess Ivie Manso | Counselor | 8915 Degrees Center St, Tigard, OR 97223 | 2019-06-13 |
| 1780141804 | Amybrunermd LLC | Obstetrics & Gynecology | 6958 Sw Varns Street, Portland, OR 97223 | 2019-02-25 |
| 1417425034 | Patience Marie Rutto | Counselor | 8915 Sw Center Streret, Tigard, OR 97223 | 2018-11-13 |
| 1871089581 | Marina E Menegol | Behavioral Analyst | Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 | 2018-07-05 |
| 1215423165 | Katherine Virginia Eichner | Psychologist | 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 | 2018-07-03 |
| 1043717390 | Rayna Donnelly | Physician Assistant | 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 | 2018-04-11 |
| 1376059725 | Kaylie Marilyn Reyes | Behavioral Analyst | 9115 Sw Oleson Road, Portland, OR 97223 | 2017-12-21 |
| 1841704004 | Kathleen Terrell Taylor | Occupational Therapist | 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 | 2017-11-27 |
| 1487163036 | Susie Riess | Counselor | 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 | 2017-09-27 |
| 1043731243 | Tam Nguyen | Optometrist | 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 | 2017-06-28 |
| Find all providers in zip 97223 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659720050 | Jesseka Jean Collins I | Specialist | 14741 Sw 109th Avenue Apt 3, Tigard, OR 97224 | 2016-06-07 |
| 1194128579 | Kevin Dean Darnell I | Specialist | 7155 Sw Varns St, Suite 214, Tigard, OR 97223-8174 | 2014-09-30 |
| 1528351236 | Ashley N Reagan | Specialist | 11565 Sw Durham Rd Ste 110, Tigard, OR 97224-3553 | 2011-05-27 |
| 1598058786 | Angelique Wise | Specialist | 14340 Sw 80th Pl, Tigard, OR 97224-8162 | 2011-05-20 |
| 1891025854 | Willamette Medical Labs, Inc. | Specialist | 9735 Sw Shady Ln Ste 203, Tigard, OR 97223-5481 | 2010-01-13 |
| 1710216353 | Robin C. Blakeslee Smith | Specialist | 12566 Sw Main St, Tigard, OR 97223-6129 | 2009-12-10 |
| 1649503475 | Ed F Schwartz | Specialist | 11930 Sw Greenbug Road, Tigard, OR 97223-6453 | 2009-09-11 |
| 1386873214 | Rich Hines | Specialist | 11515 Sw Durham Rd Ste E9, Tigard, OR 97224-3476 | 2009-07-14 |
| 1548403702 | Sonya M King | Specialist | 7505 Sw Crestview St, Tigard, OR 97223-8206 | 2009-04-16 |
| 1114169901 | Brenda Kay Killingsworth | Specialist | 14925 Sw 133rd Ave, Tigard, OR 97224-1604 | 2009-03-25 |
| Find all providers in TIGARD | ||||
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| 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.