Individual
RACHAEL LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
305 NE MORGAN ST, PORTLAND, OR 97211-2933
(801) 930-3446
Mailing address
305 NE MORGAN ST, PORTLAND, OR 97211-2933
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
1312
MD
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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