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1184295107
PETER LUCAS
PORTLAND, OR
NPI
1184295107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-07-09
Last Update Date
2021-07-09
Business Address
PETER LUCAS
3036 NE MLK BLVD
PORTLAND, OR 97212-3053
Phone number: 503-283-3763
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Mailing Address
PETER LUCAS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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