Individual
DR. JON LUCAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
707 SW WASHINGTON ST STE 700, PORTLAND, OR 97205-3523
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, SEATTLE, WA 98124-5147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
75098
MN
207L00000X
Anesthesiology Physician
Primary
MD214193
OR
208600000X
Surgery Physician
4301115638
MI
Other
Enumeration date
06/12/2018
Last updated
10/07/2024
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