Individual
BRYAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
SAMARITAN ALBANY GENERAL HOSPITAL, 1046 6TH AVE SW, ALBANY, OR 97321
(541) 812-4000
Mailing address
225 TIMBER RIDGE ST NE APT 257, ALBANY, OR 97322-7441
(704) 315-1697
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
211229
FL
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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