Individual
DR. WESLEY A LEWIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N.W. LOVEJOY, #607, PORTLAND, OR 97210
(503) 222-3638
(503) 223-5139
Mailing address
2222 N.W. LOVEJOY, #607, PORTLAND, OR 97210
(503) 222-3638
(503) 223-5139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177436
—
OR
Enumeration date
11/02/2005
Last updated
07/08/2007
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