Individual
CRYSTAL ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
536 S ROYLE RD STE 120, RIDGEFIELD, WA 98642-7759
(360) 487-1086
Mailing address
536 S ROYLE RD STE 120, RIDGEFIELD, WA 98642-7759
(360) 487-1086
(360) 487-1088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA70110831
WA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
07/28/2026
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