Individual
NICOLE AIMEE LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13541 SE MARKET ST, PORTLAND, OR 97233-1752
(503) 258-9734
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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