Lewis, Serena Ann
Lewis, Serena Ann is an individual health care provider with primary practice located at 357 Ne Court St , Prineville OR 97754-1936. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Lewis, Serena Ann can be contacted via phone (541) 504-7535.Contact Information
Primary practice address
357 Ne Court St
Prineville OR 97754-1936
Phone: (541) 504-7535
Fax: (541) 504-7535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 21-CRM-328 | Oregon |
Profile Details
| NPI number | 1386235752 |
|---|---|
| LBN Legal business name | Lewis, Serena Ann |
| Credentials | CRM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2021 |
| Last updated | Jan 28th, 2021 - about 4 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 | 1386235752 | NPPES |
| Oregon | Other | 21-CRM-328 | CRM CERTIFICATION |
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