Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nichole Lew, ATC-PTA

Individual provider Physical Therapy Assistant · NPI 1114044971

Mrs. Nichole Lew, ATC-PTA is a Physical Therapy Assistant in Wilsonville, Oregon. Practices as a sole proprietor. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone: (503) 570-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8244 (OR)
Physical Therapy Assistant Taxonomy 225200000X · Licence P160334499 (WA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1114044971
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC-PTA
Sole proprietorYes
NPI enumeratedMarch 24, 2007
Last updated in NPPESJune 20, 2019

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