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Individual

RONALD JAY LEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19250 SW 90TH AVE, TUALATIN, OR 97062-7585
(503) 692-3750
(503) 691-2324
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD23520
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1265428619
WA
05
286964
OR
Enumeration date
09/21/2005
Last updated
12/01/2021
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