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Alexis B De Lucca, MD
Student in an Organized Health Care Education/Training Program in Gresham, Oregon
NPI 1770928558

Alexis B De Lucca is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Alexis B De Lucca practices in Gresham, OR and has the professional credentials of MD. The NPI Number for Alexis B De Lucca is 1770928558 and holds a License No. MD175758 (Oregon).

The current practice location address for Alexis B De Lucca is 2020 Se 182Nd Avenue, Gresham, OR and can be reached out via phone at 503-988-5400 and via fax at 503-988-5668.

Location: 2020 Se 182Nd Avenue, Gresham, OR, 97204-1817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770928558
Provider Name
Alexis B De Lucca
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2020 Se 182Nd Avenue, Gresham, OR, 97204-1817
Phone Number
503-988-5400
Fax Number
503-988-5668
Provider Enumeration Date
05/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
096511 05 OR
022959 05 OR
institution
Provider Business Practice Location Address Details
Address
2020 Se 182Nd Avenue
City
Gresham
State
Oregon
Zip
97030
Phone Number
503-988-5400
Fax Number
503-988-5668
person
Provider Business Mailing Address Details
Address
2020 Se 182Nd Avenue
City
Gresham
State
Oregon
Zip
97030
Phone Number
503-988-5400
Fax Number
503-988-5668
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Oregon)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD175758 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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