Dr Lucas Eberhardt De Master, PSYD is a
Psychologist - Clinical based in Portland, Oregon. Dr Lucas Eberhardt De Master is licensed to practice in Oregon (license number 2589) and his current practice location is
10201 Se Main St Ste 29, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at
(503) 740-1971.
NPI number for Dr Lucas Eberhardt De Master is 1356776447 and his current mailing address is 10117 Se Sunnyside Rd # F1217, Clackamas, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356776447.
Healthcare Provider's Profile
| Full Name | Dr Lucas Eberhardt De Master |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 10201 Se Main St Ste 29, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1356776447
- Provider Enumeration Date: 09/07/2013
- Last Update Date: 12/20/2017
Medical Identifiers
Medical identifiers for Dr Lucas Eberhardt De Master such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356776447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2589 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lucas Eberhardt De Master is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lucas Eberhardt De Master, PSYD
10117 Se Sunnyside Rd # F1217,
Clackamas, OR 97015-7708
Ph: (503) 740-1971 | Dr Lucas Eberhardt De Master, PSYD
10201 Se Main St Ste 29,
Portland, OR 97216-2937
Ph: (503) 740-1971 |
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