Individual
GAYLE Y. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
622 GROVE STREET, JACKSONVILLE, OR 97530-1198
(541) 899-7023
Mailing address
622 GROVE STREET, P. O. BOX 1198, JACKSONVILLE, OREGON 97530
(541) 899-7023
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
080025187N7
OR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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