Basic Information
| Provider Information | |||||||||
| NPI: | 1902237613 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARCAS | ||||||||
| FirstName: | LUCIANA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | DNP, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5100 S MACADAM AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972393827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9712025500 | ||||||||
| FaxNumber: | 9712025555 | ||||||||
| Practice Location | |||||||||
| Address1: | 5100 S MACADAM AVE STE 200 | ||||||||
| Address2: | |||||||||
| City: | PORTLAND | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972393827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9712025500 | ||||||||
| FaxNumber: | 9712025555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2013 | ||||||||
| LastUpdateDate: | 04/29/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 201243946RN | OR | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN 60385221 | WA | N | Nursing Service Providers | Registered Nurse | 363LF0000X | 202202710NP-PP | OR | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.