person
Wayne Keith Lewis
Voluntary or Charitable Agency in Portland, Oregon
NPI 1265868673

Wayne Keith Lewis is a Voluntary or Charitable Agency based in Portland, OR. Wayne Keith Lewis practices in Portland, OR. The NPI Number for Wayne Keith Lewis is 1265868673 and holds a License No. (Oregon).

The current practice location address for Wayne Keith Lewis is 707 Ne Couch St, Portland, OR and can be reached out via phone at 503-542-4610. You can also correspond with Wayne Keith Lewis through the mailing address at 4005 N KERBY AVE, PORTLAND, OR - 97227-1244 (mailing address contact number: ).

Location: 707 Ne Couch St, Portland, OR, 97227-1244
person
Provider Profile Details
NPI Number
1265868673
Provider Name
Wayne Keith Lewis
Credential
Provider Entity Type
Individual
Gender
Male
Address
707 Ne Couch St, Portland, OR, 97227-1244
Phone Number
503-542-4610
Fax Number
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 Ne Couch St
City
State
Zip
97232-2922
Phone Number
503-542-4610
Fax Number
person
Provider Business Mailing Address Details
Address
4005 N Kerby Ave
City
State
Zip
97227-1244
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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