Provider Demographics
NPI:1437479680
Name:LEWINS, EUGENE F (LMT)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:F
Last Name:LEWINS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9220 SW BARBUR BLVD STE 105A
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-5433
Mailing Address - Country:US
Mailing Address - Phone:503-517-0916
Mailing Address - Fax:503-517-0534
Practice Address - Street 1:9220 SW BARBUR BLVD STE 105A
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-5433
Practice Address - Country:US
Practice Address - Phone:503-517-0916
Practice Address - Fax:503-517-0534
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16438225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist