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

Vivian Lackey

Individual provider Case Manager/Care Coordinator · NPI 1063818995

Vivian Lackey is a Case Manager/Care Coordinator in Portland, Oregon. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

2 NW 2nd Ave
Portland, OR 97209-3902
Phone: (503) 226-7387
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1063818995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2014
Last updated in NPPESNovember 4, 2014

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