LUCAS JOHN PETERS

PORTLAND, OR
NPI1740688134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-12-17
Last Update Date2014-12-17
Business Address
Mr. LUCAS JOHN PETERS
847 NE19TH AVE
PORTLAND, OR 97232
Phone number: 503-238-0769
Mailing Address
Mr. LUCAS JOHN PETERS
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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