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VIVIAN LACKEY
NPI 1063818995
Case Manager/Care Coordinator in Portland, OR

Active since November 04, 2014
2 NW 2ND AVE, PORTLAND, OR 97209(503) 226-7387 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivian Lackey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN LACKEY (NPI 1063818995) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1063818995
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameVIVIAN LACKEY
Location Address2 NW 2ND AVEPortland, OR 97209-3902
Mailing Address2 Nw 2nd AvePortland, OR 97209-3902 · (503) 226-7387 · Fax (503) 226-7921
Phone(503) 226-7387
Sole ProprietorNo
Enumeration DateNovember 4, 2014
✔ NPI 1063818995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2 NW 2ND AVE, Portland, OR 97209
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORIAH KRUSSOW
Behavior Analyst
2 NW 2ND AVE
PORTLAND, OR 97209
Multnomah County (503) 226-7387

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Lackey's NPI number?

The NPI number for Vivian Lackey is 1063818995. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Vivian Lackey located?

Vivian Lackey practices at 2 NW 2nd Ave, Portland, OR 97209. The listed phone number is (503) 226-7387.

What is Vivian Lackey's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Vivian Lackey was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.