Individual
KATE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-2090
Mailing address
3607 SE KNAPP ST, PORTLAND, OR 97202-8348
(503) 267-7717
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0013343
OR
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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