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Individual

JOSEPH LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11220 SE STARK ST, PORTLAND, OR 97216-3379
(971) 361-8303
Mailing address
2435 SE 92ND AVE UNIT A, PORTLAND, OR 97216-2059

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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