Organization
LUCAS EBERHARDT DE MASTER, PSYD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS EBERHARDT DE MASTER PSYD (CLINICAL PSYCHOLOGIST)
(971) 220-5993
Entity
Organization
Contact information
Practice address
10201 SE MAIN ST STE 29, PORTLAND, OR 97216-2937
(971) 220-5993
Mailing address
10201 SE MAIN ST STE 29, PORTLAND, OR 97216-2937
(971) 220-5993
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2589
OR
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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