Individual
MRS. CYNTHIA DAWN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EFDA
Contact information
Practice address
360 NW BURNSIDE RD, GRESHAM, OR 97030-3852
(503) 667-7480
(503) 667-7498
Mailing address
18036 SE MAIN ST, PORTLAND, OR 97233-5035
(503) 760-2495
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
9394
OR
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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