IndividualActive
Lacey Graham
NPI 1629525290 · Specialist · Portland, OR
Lacey Graham is a Specialist provider in Portland, OR (NPI 1629525290).
Provider details
- NPI number
- 1629525290
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 22287 (OR)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1359 Ne 35th Ave
Portland, OR 97232
Phone: (503) 799-9405
Street-level locationGet directions
Mailing address
1359 Ne 35th Ave
Portland, OR 97232-1941
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Frequently asked questions
- What is Lacey Graham's NPI number?
- Lacey Graham's National Provider Identifier (NPI) is 1629525290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lacey Graham's specialty?
- Lacey Graham is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Lacey Graham located?
- Lacey Graham's practice location on file with NPPES is 1359 Ne 35th Ave, Portland, OR 97232.
- What is Lacey Graham's phone number?
- The practice phone number listed in the NPPES registry for Lacey Graham is (503) 799-9405.
- Is Lacey Graham's NPI active?
- Yes — Lacey Graham's NPI (1629525290) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.