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Individual

EUGENE O LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10763 SW GREENBURGE ROAD, SUIT 100, TIGARD, OR 97223-5492
(503) 252-3949
Mailing address
10763 SW GREENBURG RD, SUIT 100, TIGARD, OR 97223-5492
(503) 684-8159

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201501662LPN
OR

Other

Enumeration date
04/06/2017
Last updated
04/18/2017
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