Individual provider · Type 1 NPI

Avery Lucas

Marriage & Family Therapist · Portland, OR

NPI number 1073204301 Active

Practice location

5319 SW Westgate Dr Ste 113
Portland, OR 97221-2432

Call (503) 755-8634 Map

Fax (503) 719-5228

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XR8345 (OR)
Marriage & Family Therapist Primary 106H00000XR8345 (OR)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1073204301

Avery Lucas's National Provider Identifier is 1073204301, issued on May 17, 2023. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Portland, OR. The record was last updated on Dec 11, 2025.