Individual
KAYLE 'SPIKE' SANDBERG-LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MA
Contact information
Practice address
1433 SE TOLMAN ST, PORTLAND, OR 97202-5421
(503) 234-2733
Mailing address
6336 SE MILWAUKIE AVE, #8, PORTLAND, OR 97202-5474
(503) 234-2733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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