Individual
JULIANNE DANIELLE LUKASSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 468-0650
Mailing address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 468-0650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10052060
OR
163WS0200X
School Registered Nurse
Primary
75185
NE
176B00000X
Midwife
10052060
OR
363L00000X
Nurse Practitioner
Primary
10052060
OR
Other
Enumeration date
11/09/2018
Last updated
04/08/2026
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