NPI 1194178988

Jackie Lewis

Practitioner Licensed Practical Nurse Corvallis, OR

Practice location

Address: 530 NW 27th St, Corvallis, OR 97330-5223
Phone: (541) 766-6835
Fax: (541) 766-6186

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 201406819LPN (OR)

Other Licensed Practical Nurse providers in Oregon →

Registry record

NPI: 1194178988
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2016
Record last updated: 18 Jul 2016

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.