Individual
CAROLYN MARIE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
421 SW OAK ST, SUITE 520, PORTLAND, OR 97204-1817
(503) 816-9495
Mailing address
7211 N ALBINA AVE, PORTLAND, OR 97217-1661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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