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1225708480
MATTHEW J LUCAS
PORTLAND, OR
NPI
1225708480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR A12619)
Enumeration Date
2021-09-17
Last Update Date
2021-09-17
Business Address
MATTHEW J LUCAS
1135 SE SALMON ST STE 106
PORTLAND, OR 97214-2695
Phone number: 503-567-9317
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Mailing Address
MATTHEW J LUCAS
10215 N HUDSON ST
PORTLAND, OR 97203-1570
Phone number: 646-243-1379
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