Sucely Giovanna Marie Lucas

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

12360 SE Sunnyside Rd
Clackamas, OR 97015-9320

Phone

(503) 303-4000

NPI assigned

Dec 11, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1538936588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16449 PLEASANT VALLEY DR NE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973819752",
            "telephone_number": "503-989-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159320",
            "telephone_number": "503-303-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 John Adams St",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970451955",
            "country_code": "US",
            "telephone_number": "971-710-3720",
            "fax_number": "971-204-7198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "SUCELY",
        "middle_name": "GIOVANNA MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine J Lowe, LAC, CNM
• Hillary Elizabeth Rachel Lowenstein, M.D.
• David An Luc Jr., DDS
• John Vinh Luc, PHARM.D.
• Gregory S Lucas, M.ED.
• Robert Ludemann, M.D. PH.D.
• Cora M Ludwig, MD
• Jessa Lulich, PHARM.D.
• Michelle Lum, MD
• Philip Eugen Lund, M.D.

• Case Manager/Care Coordinator in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.