THE DOCTORS LUCE PEDIATRICS, LLC


Address: 16280 Nw Bethany Ct, Beaverton, OR 97006-4885
Phone: 5037135330

THE DOCTORS LUCE PEDIATRICS, LLC (NPI# 1790015485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790015485
Entity Type Organization
Organization Name THE DOCTORS LUCE PEDIATRICS, LLC
Practice Address 16280 Nw Bethany Ct
Beaverton
OR 97006-4885
Mailing Address 20229 Sw Tremont Way
Beaverton
OR 97007-8594
Practice Telephone 5037135330
Practice Fax Number 5037135330
Mailing Telephone 5037187802
Mailing Fax Number 5037187802
Enumeration Date 2010-01-03
Last Update Date 2010-01-03
Authorized Official Name DR. MARI SUTO LUCE (MEMBER/PRESIDENT/PEDIATRICIAN)
Authorized Official Telephone 5037135330
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names THE DOCTORS LUCE PEDIATRICS, LLC 16280 Nw Bethany Ct, Beaverton, OR 97006

Office Location

Street Address 16280 NW BETHANY CT
City BEAVERTON
State OR
Zip Code 97006-4885

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558385971 Marcus Christopher Luce Pediatrics 16280 Nw Bethany Ct, Beaverton, OR 97006-4887 2006-07-27

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1992355986 Pamela J. Viado Technician 1220 Nw Weybridge Way, Beaverton, OR 97006 2019-09-12
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1043488166 Miranda Mccormack, M.d., LLC Clinic/Center 5040 Sw Griffith Dr, #201, Beaverton, OR 97005-2985 2008-02-11
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1457604654 Oregon City Medical Clinic/Center 17200 Nw Corridor Ct, Suite 110, Beaverton, OR 97006-3295 2012-10-25

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1851942536 Careatc Clinic/Center 1101 W Main St Ste 103, Medford, OR 97501-2966 2019-09-24
1871153585 Full Bloom Natural Medicine, LLC Clinic/Center 922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483 2019-06-14
1831757475 Structural Solutions Chiropractic Clinic/Center 121 Nw Everett St, Portland, OR 97209-4049 2019-05-29
1770147357 Uptown Providers PC Clinic/Center 397 Warner Milne Rd, Oregon City, OR 97045-4045 2019-04-29
1720549058 Barbara Gilbertson, Do, Inc. Clinic/Center 1803b Main St, Klamath Falls, OR 97601-2636 2019-03-28
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Competitor

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City BEAVERTON
Zip Code 97006

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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