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1912780859
GEORGE LEWIS
PORTLAND, OR
NPI
1912780859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR R8465)
Enumeration Date
2023-08-15
Last Update Date
2024-08-28
Business Address
GEORGE LEWIS MA
5901 S MACADAM AVE STE 100
PORTLAND, OR 97239-3620
Phone number: 503-893-8055
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Mailing Address
GEORGE LEWIS MA
PO BOX 9344
PORTLAND, OR 97207-9344
Phone number:
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