Individual
ALEXIS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 AIRPORT RD STE 101, MEDFORD, OR 97504-4159
(541) 200-2900
(541) 200-2948
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
PROFESSIONALLICENSE
—
Other
Enumeration date
03/13/2019
Last updated
01/03/2023
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