Individual
MS. ANGELA VICTORIA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216
(503) 257-0959
(503) 257-3457
Mailing address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216-2474
(503) 257-0959
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0003171
MD
363AM0700X
Medical Physician Assistant
Primary
PA167469
OR
Other
Enumeration date
03/29/2006
Last updated
07/21/2022
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