BRIAN LEWIS

MEDFORD, OR
NPI1609345974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-11-16
Last Update Date2022-03-10
Business Address
BRIAN LEWIS
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
Mailing Address
BRIAN LEWIS
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373