Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lacy Hafen, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1699130690

Lacy Hafen, COTA/L is an Occupational Therapy Assistant in Wilsonville, Oregon. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone: (971) 224-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5656 (AZ)

Record details

NPI number1699130690
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedDecember 18, 2015
Last updated in NPPESDecember 18, 2015

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