Individual
DR. LUCAS EBERHARDT DE MASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
10201 SE MAIN ST STE 29, PORTLAND, OR 97216-2937
(503) 740-1971
(503) 771-2436
Mailing address
10117 SE SUNNYSIDE RD # F1217, CLACKAMAS, OR 97015-7708
(503) 740-1971
(503) 771-2436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
2589
OR
Other
Enumeration date
09/07/2013
Last updated
12/20/2017
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