Individual
ROBERT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3339 SE DIVISION ST UNIT 409, PORTLAND, OR 97202-1494
(562) 882-3012
Mailing address
3339 SE DIVISION ST UNIT 409, PORTLAND, OR 97202-1494
(562) 882-3012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
331400
OR
Other
Enumeration date
09/16/2014
Last updated
10/03/2015
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