Individual
KYONA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 NE 117TH AVE, PORTLAND, OR 97220-2338
(971) 212-5628
Mailing address
707 NE COUCH ST, PORTLAND, OR 97232-2922
(503) 233-6090
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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