Individual
SERENA ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
357 NE COURT ST, PRINEVILLE, OR 97754-1936
(541) 504-7535
(541) 504-7535
Mailing address
PO BOX 2298, PRINEVILLE, OR 97754-0470
(541) 504-7535
(541) 504-7535
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
21-CRM-328
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21-CRM-328
CRM CERTIFICATION
OR
Enumeration date
01/28/2021
Last updated
01/28/2021
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