Individual
SHIRLEY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII, BS
Contact information
Practice address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 684-8159
Mailing address
213 WATER AVE NW STE 100, ALBANY, OR 97321-2271
(541) 512-4477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19-P-12
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
19-QMHA-R-0018
OR
Other
Enumeration date
02/25/2016
Last updated
10/20/2021
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