KATHARYN BRANDI LACRE DDPSW BHPCA CHW NPI 1760224331

NPI Information

  • NPI: 1760224331
  • Provider Name: KATHARYN BRANDI LACRE, DDPSW BHPCA CHW
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • Address: 70 SW CENTURY DR STE 100-1079
    BEND, OR
    ZIP 97702
  • Phone: (541) 977-7078

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NPI Details

Katharyn Brandi Lacre, DDPSW BHPCA CHW is a public health and general preventive medicine preventive medicine in Bend, OR. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Katharyn Brandi Lacre, DDPSW BHPCA CHW NPI is 1760224331. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

70 SW CENTURY DR STE 100-1079
BEND, OR
ZIP 97702-557
Phone: (541) 977-7078

The enumeration date for this NPI number is 6/12/2024 and was last updated on 8/19/2024.

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
1101YP2500XCounselorProfessionalOREGONNo
2133N00000XNutritionistNo
3171000000XMilitary Health Care ProviderNo
4171400000XHealth and Wellness CoachNo
5171M00000XCase Manager/Care CoordinatorNo
6172V00000XCommunity Health WorkerOREGONNo
71744R1102XSpecialistResearch StudyNo
8174N00000XLactation Consultant, Non-RNNo
9175F00000XNaturopathOREGONNo
10176B00000XMidwifeNo
11246Z00000XSpecialist/Technologist, OtherNo
12374J00000XDoulaTHW000110802OREGONNo
13390200000XStudent in an Organized Health Care Education/Training ProgramNo
142083P0901XPreventive MedicinePublic Health & General Preventive MedicineNAOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1864218OTHEROREGONPCA-PDC (OHCC) PERSONAL CARE PROFESSIONAL CERTIFIED
2865890OTHEROREGONIDD-PSW OREGON STATE PLAN PERSONAL CARE SERVICES (SPPC/84-800) OHA
3NAOTHERPCD-POSTPARTUM DOULA (SIMKIN CENTER FOR ALLIED BIRTH VOCATIONS)
4864218OTHEROREGONMH-PC20 AMH-PERSONAL CARE SERVICES 20 (OREGON HEALTH AUTHORITY)
5868421OTHEROREGONHCW-PDC HOME CARE PROFESSIONAL CERTIFIED (OHCC)
6NAOTHEROREGONPWS-PEER WELLNESS SPECIALIST (OHA)
7THW000110802OTHEROREGONTHW-TRADITIONAL HEALTH WORKER (OHA)
8THW000110802OTHEROREGONPSS-ADULT ADDICTIONS (OHA)
9THW000110802OTHEROREGONYSS-YOUTH SUPPORT SPECIALIST (OHA)
10NAOTHERCD-BIRTH DOULA (SIMKIN CENTER FOR ALLIED BIRTH VOCATIONS)
11NAOTHEROREGONPSS-MENTAL HEALTH (OHA)
12865890OTHEROREGONPSW-EC (OHCC) PERSONAL SUPPORT ENHANCED CERTIFIED
13COS-FT-10184774OTHEROREGONAESTHETICIAN (OHA-BOARD OF COSMETOLOGY)
14NAOTHEROREGONCRM-ADULT ADDICTIONS RECOVERY (MHACBO)
15THW000110802OTHEROREGONPSS-PEER SUPPORT SPECIALIST (OHA)
16868421OTHEROREGONHCW-AGING AND PEOPLE WITH DISABILITIES (ODHS)
17NAOTHEROREGONFSS-FAMILY SUPPORT SPECIALIST (OHA)
18THW000110802OTHEROREGONCHW-COMMUNITY HEALTH WORKER (OHA)
19864218OTHEROREGONBHPCA - OREGON MEDICAID BEHAVIORAL HEALTH PERSONAL CARE PROGRAM (OHA)
20868421OTHEROREGONHCW-EC HOME CARE ENHANCED CERTIFIED (OHCC)
21NAOTHEROREGONQMHA-R QUALIFIED MENTAL HEALTH ASSOCIATE (MHACBO)
22NAOTHEROREGONPSS-FAMILY SUPPORT SPECIALIST (OHA)
23THW000110802OTHEROREGONPWS-PEER WELLNESS SPECIALIST (OHA)
24865890OTHEROREGONIDD-PSW CHILDREN INTENSIVE IN-HOME CARE SERVICES (SPPC/84-801) OHA
25NAOTHEROREGONPSS-YOUTH SUPPORT SPECIALIST (OHA)
26T-24-4235OTHEROREGONCADC-R CERTIFIED ALCOHOL AND DRUG COUNSELOR (MHACBO)
27THW000110802OTHEROREGONBIRTH DOULA (OHA)

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: 3/30/2025

NPI Synchronization or Removal

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