Eugene O Lewis
Licensed Practical Nurse in Tigard, OR. Individual provider (NPI-1).
NPI number1669905758
StatusActive
Last updated in NPPESApr 18, 2017
Details
- NPI
- 1669905758
- Entity type
- Individual (NPI-1)
- Name
- Eugene O Lewis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2017
- Last updated
- Apr 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 201501662LPN | OR | Yes |
Practice location
10763 Sw Greenburge RoadSuit 100
Tigard, OR 97223-5492
Phone 503-252-3949
Mailing address
10763 Sw Greenburg RdSuit 100
Tigard, OR 97223-5492
Phone 503-684-8159
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All 26 Licensed Practical Nurse providers in Tigard · All 3,604 providers in Tigard
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