NICOLE LEWIS

SALEM, OR
NPI1710758768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW000110212)
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2024-01-09
Last Update Date2024-01-09
Business Address
NICOLE LEWIS PSS
1190 BROADWAY ST NE
SALEM, OR 97301-1141
Phone number: 503-393-4273
Mailing Address
NICOLE LEWIS PSS
469 GREGORY LN SE
SALEM, OR 97302-4823
Phone number: 503-851-8161