Individual
MISS NATASHA ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2285 NW JOHNSON ST, PORTLAND, OR 97210-3236
(503) 208-4461
Mailing address
306 NE 61ST AVE, PORTLAND, OR 97213-3981
(503) 260-8676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11069
OR
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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