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

Mr. Avery Lucas

Individual provider Mental Health Counselor · NPI 1073204301

Mr. Avery Lucas is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2023
Specialties on file
2

Practice location Address checks out

5319 SW Westgate Dr Ste 113
Portland, OR 97221-2432
Phone: (503) 755-8634
Fax: (503) 719-5228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence R8345 (OR)
Mental Health Counselor Taxonomy 101YM0800X · Licence R8345 (OR)

Record details

NPI number1073204301
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

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