Individual
MR. REYNALDO LUGO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 888-1425
(503) 888-1425
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 888-1425
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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