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Individual

DR. TODD JAY LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2211 NW PROFESSIONAL DR, STE 100, CORVALLIS, OR 97330-3887
(541) 757-7463
(541) 757-7465
Mailing address
2211 NW PROFESSIONAL DR, STE 100, CORVALLIS, OR 97330-3887
(541) 757-7463
(541) 757-7465

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD13887
OR

Other

Enumeration date
06/15/2006
Last updated
02/06/2008
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