Lewis, Angela Marie

Lewis, Angela Marie is an individual health care provider with primary practice located at 996 Nw Circle Blvd Ste. 101, Corvallis OR 97330-1485. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lewis, Angela Marie can be contacted via phone (541) 757-0878.

Contact Information

Primary practice address
996 Nw Circle Blvd Ste. 101 Corvallis OR 97330-1485
Phone: (541) 757-0878
Fax: (541) 757-0879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4800 Oregon

Profile Details

NPI number 1982688305
LBN Legal business name Lewis, Angela Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 22nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982688305 NPPES
Oregon Other 0194273 WASHINGTON L&I
Oregon Other P00219022 WASHINGTON L&I
Oregon Other 0252264 WASHINGTON L&I
Oregon Other P01740351 WASHINGTON L&I
Oregon MEDICAID 231828 WASHINGTON L&I

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