Individual
KAYTLIN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, 21640
Contact information
Practice address
3990 COLLINS WAY STE 201, LAKE OSWEGO, OR 97035-3459
(503) 635-1236
Mailing address
8220 SW OAK ST, PORTLAND, OR 97223-5810
(971) 708-9291
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
21640
OR
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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