Lewis Detwiler

NPI #1659820504 in Astoria, Oregon

Provider Information

NPI Number: 1659820504
Entity Type: Individual
Name: Lewis Detwiler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 3, 2016
Last Updated: Oct 3, 2016

Practice Location

Address: 2120 EXCHANGE ST STE 301
City: Astoria
State: Oregon
ZIP Code: 97103-3364
Phone: (503) 325-0241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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