Lackey, Lara Jo

Lackey, Lara Jo is an individual health care provider with primary practice located at 10180 Se Sunnyside Rd , Clackamas OR 97015-8970. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lackey, Lara Jo can be contacted via phone (503) 652-2880.

Contact Information

Primary practice address
10180 Se Sunnyside Rd Clackamas OR 97015-8970
Phone: (503) 652-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L3364 Oregon

Profile Details

NPI number 1780875427
LBN Legal business name Lackey, Lara Jo
Credentials M.S.W.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Aug 7th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers