Individual
FRANCES LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8428 N BLISS ST, PORTLAND, OR 97203-1177
(971) 207-5652
Mailing address
8428 N BLISS ST, PORTLAND, OR 97203-1177
(971) 207-5652
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000003137
—
OR
Enumeration date
02/14/2019
Last updated
02/14/2019
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