Most Relevant Information
Provider Data
| NPI Number: | 1003450248 |
| Provider Name: | AMBER C LEWIS CRM/PSS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 18-CRM-347 |
Most Important Dates
| Enumeration Date: | 10/31/2019 |
| Last Updated: | 10/20/2020 |
Provider Practice Location
1631 SW COLUMBIA ST
PORTLAND
OR
972016025
Practice Location Phone/Fax
| Phone: | 5032312641 |
| Fax: | 5032311654 |
Provider Mailing Location
1776 SW MADISON ST
PORTLAND
OR
972051715
Provider Mailing Phone/Fax
| Phone: | 5032241044 |
| Fax: | 5032244494 |