Individual
LILA EMMA-MAE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 WATER AVE NW, ALBANY, OR 97321-2298
(541) 371-2080
(541) 928-6713
Mailing address
344 NW 12TH ST APT 3, CORVALLIS, OR 97330-5976
(541) 281-7741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T25-50-41
OR
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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