Individual
DR. MATTHEW LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-4906
Mailing address
7587 S COVE CIR, CENTENNIAL, CO 80122-3356
(303) 250-5995
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PG167980
OR
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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