Individual provider · Type 1 NPI

Philip Arthur Lucht

Mental Health Counselor · Portland, OR

NPI number 1053909085 Active

Practice location

17720 NE Halsey St Ste A
Portland, OR 97230-6771

Call (503) 654-7654 Map

Fax (503) 654-7333

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053909085

Philip Arthur Lucht's National Provider Identifier is 1053909085, issued on Jan 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Jan 5, 2021.