Individual
MRS. PENNY LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2121 NE 139TH ST # A, SUITE 200, VANCOUVER, WA 98686-2316
(360) 487-1777
(360) 487-1779
Mailing address
3731 NE 23RD AVE, PORTLAND, OR 97212-1447
(503) 287-3745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003093
WA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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