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1265868673
WAYNE KEITH LEWIS
PORTLAND, OR
NPI
1265868673
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
251V00000X Voluntary or Charitable
Enumeration Date
2013-09-17
Last Update Date
2013-09-17
Business Address
-- WAYNE KEITH LEWIS
707 NE COUCH ST
PORTLAND, OR 97232-2922
Phone number: 503-542-4610
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Mailing Address
-- WAYNE KEITH LEWIS
4005 N KERBY AVE
PORTLAND, OR 97227-1244
Phone number:
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