Individual
LISA KAINANI HEWAHEWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 3RD AVE, LONGVIEW, WA 98632-3229
(360) 423-8800
Mailing address
801 SE PARK CREST AVE, VANCOUVER, WA 98683-1300
(360) 828-7046
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1139
WA
Other
Enumeration date
06/25/2008
Last updated
04/09/2015
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