Provider Demographics
NPI:1952759318
Name:SUMMERS, WILLIAM LUKE (MA)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:LUKE
Last Name:SUMMERS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W 1ST ST
Mailing Address - Street 2:UNIT #3
Mailing Address - City:NEWBERG
Mailing Address - State:OR
Mailing Address - Zip Code:97132-2438
Mailing Address - Country:US
Mailing Address - Phone:254-231-1931
Mailing Address - Fax:
Practice Address - Street 1:18840 SOUTHWEST BOONES FERRY RD
Practice Address - Street 2:SUITE 208
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062
Practice Address - Country:US
Practice Address - Phone:503-427-2394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health