| The Doctors Luce Pediatrics, Llc | |
|
16280 Nw Bethany Ct Beaverton OR 97006-4885 | |
| (503) 713-5330 | |
| (503) 713-5330 |
| Full Name | The Doctors Luce Pediatrics, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 16280 Nw Bethany Ct, Beaverton, Oregon |
| Authorized Official Name and Position | Mari Suto Luce (MEMBER/PRESIDENT/PEDIATRICIAN) |
| Authorized Official Contact | 5037135330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Doctors Luce Pediatrics, Llc 20229 Sw Tremont Way Beaverton OR 97007-8594 Ph: (503) 718-7802 | The Doctors Luce Pediatrics, Llc 16280 Nw Bethany Ct Beaverton OR 97006-4885 Ph: (503) 713-5330 |
| NPI Number | 1790015485 |
|---|---|
| Provider Enumeration Date | 01/03/2010 |
| Last Update Date | 01/03/2010 |
| Medicare PECOS PAC ID | 0840607172 |
|---|---|
| Medicare Enrollment ID | O20210401001461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790015485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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