Individual
SHOSHANNA DANICA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1975 NW 167TH PL, # 100-43, BEAVERTON, OR 97006-4908
(971) 205-2630
(971) 606-2024
Mailing address
1975 NW 167TH PL, # 100-43, BEAVERTON, OR 97006-4908
(971) 205-2630
(971) 606-2024
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62541
OR
Other
Enumeration date
11/13/2017
Last updated
10/02/2023
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