Individual
VANESSA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
Mailing address
606 MEDICAL PKWY, ENTERPRISE, OR 97828-5140
(541) 426-4524
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C9315
OR
101YM0800X
Mental Health Counselor
12476
MA
Other
Enumeration date
09/10/2018
Last updated
02/06/2025
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