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Individual

KASEY WAYMAN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2550 S SANTIAM HWY, LEBANON, OR 97355-3052
(541) 259-3646
Mailing address
2550 S SANTIAM HWY, LEBANON, OR 97355-3052
(541) 259-3646

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
146679493
OR

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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