IndividualActive
Amanda Lewis
NPI 1902372576 · Behavior Technician · Gresham, OR
Provider details
- NPI number
- 1902372576
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2701088 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
912 Ne Kelly Ave Ste 100c
Gresham, OR 97030-5629
Phone: (503) 912-5503
Approximate (ZIP-level) locationGet directions
Mailing address
912 Ne Kelly Ave Ste 100c
Gresham, OR 97030-5629
Registry dates
- Enumerated
- 2018-10-22
- Last updated
- 2018-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.