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1790219541
TRACY LEWIS LEWIS
PORTLAND, OR
NPI
1790219541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C4407)
Enumeration Date
2017-04-19
Last Update Date
2017-04-19
Business Address
-- TRACY LEWIS LEWIS LPC
5511 SE HAWTHORNE BLVD
PORTLAND, OR 97215-3367
Phone number: 503-517-1895
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Mailing Address
-- TRACY LEWIS LEWIS LPC
5511 SE HAWTHORNE BLVD
PORTLAND, OR 97215-3367
Phone number: 503-517-1895
Copy
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