Individual
EDWARD JAMES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1200 NE 48TH AVE, SUITE 700, HILLSBORO, OR 97124-4904
(503) 312-2616
(503) 693-2330
Mailing address
5735 SW 170TH AVE, ALOHA, OR 97007-3318
(503) 681-4260
(503) 693-2330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-AT-142301
OR
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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