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Individual

STEVEN LIONELL LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 363-8047
(503) 363-6571
Mailing address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 363-8047
(503) 363-6571

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA169855
OR
390200000X
Student in an Organized Health Care Education/Training Program
OR

Other

Enumeration date
11/23/2010
Last updated
04/06/2017
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