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Individual

LUCAS ALEXANDER JUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
137 NE FREMONT ST, PORTLAND, OR 97212-2031
(503) 208-6143
Mailing address
137 NE FREMONT ST, PORTLAND, OR 97212-2031
(503) 939-0715

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
07/31/2024
Last updated
08/29/2025
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