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NPI Code Detail

MEDICARE: NICOLE LEWIS N.D.

MEDICARE: NICOLE LEWIS N.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175F00000XNaturopath4440OR
2175F00000XNaturopath000017CO

General Provider Information

NPI Number : 1477910024
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LEWIS N.D.
Provider Business Mailing Address
First Line : 819 SE MORRISON ST STE 115
Second Line :
City : PORTLAND
State : OR
Zip : 97214-6308
Country : US
Telephone Number : 503-956-9396
Fax Number :
Provider Business Practice Location Address
First Line : 819 SE MORRISON ST STE 115
Second Line :
City : PORTLAND
State : OR
Zip : 97214-6308
Country : US
Telephone Number : 503-956-9396
Fax Number : 503-206-4791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 10/05/2023

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Directions to “ NICOLE LEWIS N.D.” Practice Location

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