Individual
MS. MALEE V. LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2390 NW THURMAN ST # 1, PORTLAND, OR 97210-2521
(503) 816-3890
Mailing address
1718 NE 11TH AVE APT 207, PORTLAND, OR 97212-4072
(503) 816-3890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12182
OR
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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