Most Relevant Information
Provider Data
| NPI Number: | 1003663493 |
| Provider Name: | SYDNEY LEWIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2024 |
| Last Updated: | 05/02/2024 |
Provider Practice Location
945 NE 165TH AVE
PORTLAND
OR
972306148
Practice Location Phone/Fax
| Phone: | 5034088100 |
| Fax: |
Provider Mailing Location
PO BOX 8459
PORTLAND
OR
972078459
Provider Mailing Phone/Fax
| Phone: | 5032380769 |
| Fax: |