LEWIS DETWILER

ASTORIA, OR
NPI1659820504
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-10-03
Last Update Date2016-10-03
Business Address
-- LEWIS DETWILER
2120 EXCHANGE ST STE 301
ASTORIA, OR 97103-3364
Phone number: 503-325-0241
Mailing Address
-- LEWIS DETWILER
65 N HIGHWAY 101 STE 204
WARRENTON, OR 97146-9371
Phone number: 503-325-0241
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