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1669905758
EUGENE O LEWIS
TIGARD, OR
NPI
1669905758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201501662LPN)
Enumeration Date
2017-04-06
Last Update Date
2017-04-18
Business Address
-- EUGENE O LEWIS
10763 SW GREENBURGE ROAD SUIT 100
TIGARD, OR 97223-5492
Phone number: 503-252-3949
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Mailing Address
-- EUGENE O LEWIS
10763 SW GREENBURG RD SUIT 100
TIGARD, OR 97223-5492
Phone number: 503-684-8159
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