Individual
LEWIS W SPRUNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 NW EASTMAN PKWY, 100, GRESHAM, OR 97030-3858
(503) 571-0725
(503) 571-0720
Mailing address
1550 NW EASTMAN PKWY, SUITE 100, GRESHAM, OR 97030-3858
(503) 571-0725
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
MD00035731
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD13478
OR
Other
Enumeration date
08/30/2006
Last updated
07/10/2007
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