Individual
DR. JEREMY C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-2441
(509) 447-0456
Mailing address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-2441
(509) 447-0456
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OP00001708
WA
207Q00000X
Family Medicine Physician
Primary
OP00001708
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8319212
—
WA
Enumeration date
09/28/2006
Last updated
06/24/2019
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