Individual
SCOTT LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD 12958
OR
Other
Enumeration date
08/14/2006
Last updated
07/12/2007
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