Individual
NICHOLAS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
(971) 206-5205
Mailing address
4560 SE INTERNATIONAL WAY, SUITE 101, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0014260
OR
183500000X
Pharmacist
60497937
WA
Other
Enumeration date
02/17/2015
Last updated
02/17/2015
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