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1164465126
EDWARD JAMES LEWIS
HILLSBORO, OR
NPI
1164465126
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: OR AT-AT-142301)
Enumeration Date
2006-06-14
Last Update Date
2007-07-08
Business Address
EDWARD JAMES LEWIS ATC
1200 NE 48TH AVE SUITE 700
HILLSBORO, OR 97124-4904
Phone number: 503-312-2616
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Mailing Address
EDWARD JAMES LEWIS ATC
5735 SW 170TH AVE
ALOHA, OR 97007-3318
Phone number: 503-681-4260
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