Individual
MR. AVERY LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
(503) 755-8634
(503) 719-5228
Mailing address
5319 SW WESTGATE DR STE 113, PORTLAND, OR 97221-2432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R8345
OR
106H00000X
Marriage & Family Therapist
Primary
R8345
OR
Other
Enumeration date
05/17/2023
Last updated
12/11/2025
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