Individual
CASEY LUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 418-8412
Mailing address
3181 SW SAM JACKSON PARK RD, MAILCODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 418-8412
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD205252
OR
Other
Enumeration date
01/13/2016
Last updated
05/23/2022
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