Marx, Lusijah
Marx, Lusijah is an sole proprietor health care provider with primary practice located at 2901 E Burnside St , Portland OR 97214-1831. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Marx, Lusijah can be contacted via phone (503) 238-5203.Contact Information
Primary practice address
2901 E Burnside St
Portland OR 97214-1831
Phone: (503) 238-5203
Fax: (503) 238-5202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 964 | Oregon |
Profile Details
| NPI number | 1780726976 |
|---|---|
| LBN Legal business name | Marx, Lusijah |
| Credentials | PSYD, PMHNP, RN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780726976 | NPPES |
| Oregon | MEDICAID | 298940 |
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