NPI 1114044971
Nichole Lew, ATCPTA
Practice location
- Address
- 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697
- Phone
- (503) 570-3665
- Mailing address
- 16521 NE 29th St, Vancouver, WA 98682-8673
Registered specialties (3)
Physical Therapy Assistant
Primary
Physical Therapy Assistant
Athletic Trainer
Registry record
- NPI
- 1114044971
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Mar 2007
- Record last updated
- 20 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.