Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexis B De Lucca, MD

Individual provider Family Medicine Physician · NPI 1770928558

Alexis B De Lucca, MD is a Family Practice in Gresham, Oregon. Graduated from Stanford University School of Medicine in 2013, 13 years ago. Practices with Northwest Primary Care Group PC, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
13
Trained at
Stanford University School of Medicine
Licensed in
OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2020 SE 182nd Ave
Gresham, OR 97030
Phone: (503) 988-5400
Fax: (503) 988-5668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD175758 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OR)

Record details

NPI number1770928558
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2013
Last updated in NPPESDecember 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Northwest Primary Care Group Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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