Individual
AVERY LEIGH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10572 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(503) 284-6883
Mailing address
5707 NE 12TH AVE, PORTLAND, OR 97211-4217
(614) 361-3027
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/09/2023
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