Individual
HEATHER L LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
847 MADISON AVE, VERNONIA, OR 97064-1106
(503) 429-4677
Mailing address
847 MADISON AVE, VERNONIA, OR 97064-1106
(503) 429-4677
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10732
OR
225700000X
Massage Therapist
MA00018414
WA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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