Individual
JENNIFER M. LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205
(503) 353-5847
(503) 535-3868
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150006NP
OR
363LF0000X
Family Nurse Practitioner
AP091027
ME
Other
Enumeration date
08/06/2009
Last updated
08/29/2018
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