Marissa Bonus Luck, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

MD209009 Issued in OR

Practice address

808 SW 15TH Ave
Portland, OR 97205-1907

Phone

(503) 274-4774

NPI assigned

Mar 19, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Marissa Luck Bonus Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mluck87508@direct.ohsu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Professional Services

  • General Practice Physician
  • Portland, OR
  • NPI 1376709535
  Medicare reassignment NPD
• University Professional Services

  dba OHSU Home Infusion Pharmacy

  • Pharmacy
  • Beaverton, OR
  • NPI 1073054714
  NPD
• University Professional Services

  dba OHSU Intercultural Psychiatric Program

  • Adult Mental Health Clinic/Center
  • Portland, OR
  • NPI 1750753687
  NPD
• Portland Center for Reproductive Medicine

  • Specialist
  • Portland, OR
  • NPI 1033234042
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1215431960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 SW 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051907",
            "telephone_number": "503-274-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 SW 15TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972051907",
            "telephone_number": "503-274-4774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Oregon Health & Science University",
            "address_2": "3181 SW Sam Jackson Park Rd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "97239",
            "country_code": "US",
            "telephone_number": "312-926-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCK",
        "first_name": "MARISSA",
        "middle_name": "BONUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD209009",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OR",
            "license": "MD209009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "BONUS",
            "middle_name": "LUCK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Joe Luchtenburg
• Angelica Lucia
• Lindsey Lucia
• Marc M Lucier, CRNA
• Julianna Bridget Lucisano, LCSW, CADC I
• Rachael Luck, PA
• John Joseph Lucke
• Jackie Luckett
• Jesse Luckett, LMT
• Lucrecia V Suarez G LCSW PC (Conexiones)

• Reproductive Endocrinology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Reproductive Endocrinology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.