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:
Health care specialties
Specialty | Code | License # | 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 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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