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

MS. Lacey Graham

Individual provider Specialist · NPI 1629525290

MS. Lacey Graham is a Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016

Practice location Address checks out

1359 NE 35th Ave
Portland, OR 97232
Phone: (503) 799-9405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 22287 (OR)

Record details

NPI number1629525290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 1, 2016
Mailing address1359 Ne 35th Ave, Portland, OR 97232-1941

Other providers in Portland