IndividualActive
Alexis De Lucca, MD
NPI 1770928558 · Family Medicine Physician · Gresham, OR
Provider details
- NPI number
- 1770928558
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD175758 (OR)
Practice location
2020 Se 182nd Avenue
Gresham, OR 97030
Phone: (503) 988-5400
Fax: (503) 988-5668
Mailing address
421 Sw Oak St
Portland, OR 97204-1817
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2016-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.