Individual
PAMELA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
94386 MCNEELY LN, COQUILLE, OR 97423-6721
(541) 396-4348
Mailing address
94386 MCNEELY LN, COQUILLE, OR 97423-6721
(541) 396-4348
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200742577RN
OR
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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