Individual
KATHERINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 E GALA ST STE 100, MERIDIAN, ID 83642-5210
(208) 955-7333
Mailing address
6161 NE ALDER ST, HILLSBORO, OR 97124-8329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2023
Last updated
04/02/2026
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