Individual
MICHELE SAMANTHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
16907 NW OAKRIDGE DR, PORTLAND, OR 97229-7356
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22463
OR
Other
Enumeration date
10/12/2006
Last updated
07/13/2007
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