Individual
BROOK LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 PRINGLE RD SE, SALEM, OR 97302-1533
(503) 588-5330
Mailing address
2611 PRINGLE RD SE, SALEM, OR 97302-1533
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
568555
OR
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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