Individual
TODD C LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3640 NW SAMARITAN DR STE 100, CORVALLIS, OR 97330-3738
(541) 768-5205
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101236867
VA
207RC0000X
Cardiovascular Disease Physician
MD229304
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406745200
—
MD
Enumeration date
06/16/2006
Last updated
07/07/2026
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