Individual
NICOLE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3621 HIGHWAY 101 N, GEARHART, OR 97138-4321
(503) 717-7789
(503) 717-7777
Mailing address
3621 HIGHWAY 101 N, GEARHART, OR 97138-4321
(503) 717-7789
(503) 717-7777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
282156
OR
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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