Doctor Name: | DR. JAYLENE LEWIS |
NPI Number: | 1386866424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 14086 |
Business Practice Address: | 1895 Nw 188th Ave Hillsboro, OR - 970066485 |
Business Phone Number: | 5037187161 |
Business Fax Number: | 5032681691 |
Mailing Address: | 1895 Nw 188th Ave, HILLSBORO |
State: | OR |
Postal Code: | 970066485 |
Phone Number: | 5037187161 |
Fax Number: | 5032681691 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 06/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 14086 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |