Jackie Lewis

NPI #1194178988 in Corvallis, Oregon

Provider Information

NPI Number
1194178988
Entity Type
Individual
Name
Jackie Lewis
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jul 18, 2016
Last Updated
Jul 18, 2016

Practice Location

Address
530 NW 27TH ST
State
Oregon
ZIP Code
97330-5223
Phone
(541) 766-6835

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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