Provider Demographics
NPI:1528224060
Name:LUCE, DAVID BARCLAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BARCLAY
Last Name:LUCE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20229 SW TREMONT WAY
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8594
Mailing Address - Country:US
Mailing Address - Phone:503-747-6543
Mailing Address - Fax:503-747-6543
Practice Address - Street 1:20229 SW TREMONT WAY
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-8594
Practice Address - Country:US
Practice Address - Phone:503-747-6543
Practice Address - Fax:503-747-6543
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24296207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine