MISS LACEY JOY MCCARLEY ARNP NPI 1780094631

NPI Information

  • NPI: 1780094631
  • Provider Name: MISS LACEY JOY MCCARLEY, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1225 NE 2ND AVE
    PORTLAND, OR
    ZIP 97232
  • Phone: (503) 944-8000

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NPI Details

MISS Lacey Joy Mccarley, ARNP is a family nurse practitioner in Portland, OR with 6 years of experience. MISS Lacey Joy Mccarley, ARNP NPI is 1780094631. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1225 NE 2ND AVE
PORTLAND, OR
ZIP 97232-003
Phone: (503) 944-8000

The NPI 1780094631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/30/2014 and was last updated on 12/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse201400152RNOREGONNo
2363LF0000XNurse PractitionerFamilyAP61100479WASHINGTONNo
3363LF0000XNurse PractitionerFamily202210076NP-PPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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