Individual
MR. LUCAS ELLIOT SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
300 N GRAHAM ST STE 200, PORTLAND, OR 97227-1676
(503) 413-2908
(503) 413-1895
Mailing address
300 N GRAHAM ST STE 200, PORTLAND, OR 97227-1676
(503) 413-2908
(503) 413-1895
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
110875
OR
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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