Individual
DR. PATRICK K LEWALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
(541) 706-7068
Mailing address
501 N GRAHAM STREET, SUITE 265, PORTLAND, OR 97227
(503) 282-7002
(503) 280-1290
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD14318
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125658
—
OR
Enumeration date
09/20/2006
Last updated
04/20/2020
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