Individual
DR. RUSSELL SHEPHERD LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5911
(541) 706-2645
Mailing address
60959 SNOWBERRY PL, BEND, OR 97702-9182
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD208093
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
06/03/2024
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