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Individual

ANGELA MARIE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
996 NW CIRCLE BLVD, STE. 101, CORVALLIS, OR 97330-1485
(541) 757-0878
(541) 757-0879
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4800
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0194273
WASHINGTON L&I
OR
01
0252264
WASHINGTON L&I
OR
05
231828
OR
01
P00219022
RR MEDICARE
OR
01
P01740351
RR MEDICARE
OR
Enumeration date
11/30/2005
Last updated
12/22/2016
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