Individual
GREGORY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5802 RAINIER AVE S, SEATTLE, WA 98118-2706
(206) 723-1980
Mailing address
320 1/2 S LAFAYETTE AVE, BREMERTON, WA 98312-4244
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100867809WA
—
WA
Enumeration date
06/15/2015
Last updated
06/15/2015
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