Individual
MR. MARC GRAYSON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CARN, QMHP
Contact information
Practice address
685 SE 3RD ST, BEND, OR 97702-1754
(541) 668-9070
Mailing address
2711 NW RAINBOW RIDGE DR, BEND, OR 97703-8722
(808) 345-6027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
22-QMHPC-001160
OR
163W00000X
Registered Nurse
Primary
201805080RN
OR
Other
Enumeration date
08/05/2020
Last updated
05/02/2025
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