Individual
JUAN C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
21 NE 7TH AVE, PORTLAND, OR 97232-2907
(503) 231-4876
(503) 232-0256
Mailing address
21 NE 7TH AVE, PORTLAND, OR 97232-2907
(503) 231-4876
(503) 232-0256
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PS00000206
WA
Other
Enumeration date
08/01/2007
Last updated
01/10/2023
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