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PHILLIP C LACY CPHT
NPI 1215429394
Pharmacy Technician in Portland, OR

Active since June 04, 2018
12360 E BURNSIDE ST, PORTLAND, OR 97233(971) 279-4800(971) 279-2051 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phillip C Lacy Cpht NPPES

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

PHILLIP C LACY CPHT (NPI 1215429394) is an individual pharmacy technician in Portland, Oregon, licensed in Oregon (CPT-0011115) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1215429394
Entity TypeIndividualMale
Primary Taxonomy183700000X
Provider Legal NamePHILLIP C LACYCredential: CPHT
Location Address12360 E BURNSIDE STPortland, OR 97233-1042
Mailing Address1776 Sw Madison StPortland, OR 97205-1715 · (503) 224-1044 · Fax (503) 621-2235
Phone(971) 279-4800
Fax(971) 279-2051
Sole ProprietorNo
Enumeration DateJune 4, 2018
✔ NPI 1215429394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in OR · CPT-0011115
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
12360 E BURNSIDE ST, Portland, OR 97233
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Other Providers at the Same Location NPPES 20

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

ANGEL T HIRSCH PCA/QMHP-C
Counselor
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
CHRISTA R ANDREASEN RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
THURSDAY CHARBONEAU PSS
Peer Specialist
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
NATIVE AMERICAN REHABILITATION ASSOC INC
Clinic/Center (Federally Qualified Health Center (FQHC))
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
JACQUELINE FAYE RICHLAND CSWA
Social Worker
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
VALERIE D CHAMBERS RN
Registered Nurse
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800
ELIZABETH MORGAN BRADSHAW LCSW
Social Worker (Clinical)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 278-9480
REBEKAH L TRAVIS QMHA
Counselor (Mental Health)
12360 E BURNSIDE ST
PORTLAND, OR 97233
Multnomah County (971) 279-4800

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 Phillip Lacy's NPI number?

The NPI number for Phillip Lacy is 1215429394. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Phillip Lacy located?

Phillip Lacy practices at 12360 E Burnside St, Portland, OR 97233. The listed phone number is (971) 279-4800.

What is Phillip Lacy's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Phillip Lacy was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.