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Individual

NICOLE LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D.

Contact information

Practice address
819 SE MORRISON ST STE 115, PORTLAND, OR 97214-6308
(503) 956-9396
(503) 206-4791
Mailing address
819 SE MORRISON ST STE 115, PORTLAND, OR 97214-6308
(503) 956-9396

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
000017
CO
175F00000X
Naturopath
Primary
4440
OR

Other

Enumeration date
01/26/2016
Last updated
10/05/2023
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