Amy Lucason

NPI #1518471853 in Corvallis, Oregon

Provider Information

NPI Number
1518471853
Entity Type
Individual
Name
Amy Lucason
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
Nov 22, 2017
Last Updated
Nov 22, 2017

Practice Location

Address
4455 NE HIGHWAY 20
State
Oregon
ZIP Code
97330-9695
Phone
(541) 757-5900

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Mental Illness

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