| Lucent Psychiatry | |
|
311 B Ave Ste R Lake Oswego OR 97034-3071 | |
| (503) 213-6167 | |
| Not Available |
| Full Name | Lucent Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 311 B Ave Ste R, Lake Oswego, Oregon |
| Authorized Official Name and Position | Jonathan Wilson (COO) |
| Authorized Official Contact | 5032136167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucent Psychiatry 311 B Ave Ste R Lake Oswego OR 97034-3071 Ph: () - | Lucent Psychiatry 311 B Ave Ste R Lake Oswego OR 97034-3071 Ph: (503) 213-6167 |
| NPI Number | 1275314668 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275314668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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