Individual
ERIN HTTPS://NPPES.CMS.HH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4425 NE BROADWAY STE 200, PORTLAND, OR 97213-1425
(503) 258-4555
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
120970
CA
104100000X
Social Worker
Primary
A15670
OR
1041C0700X
Clinical Social Worker
ACSW120970
CA
Other
Enumeration date
09/02/2021
Last updated
05/27/2025
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