Individual
MARC E LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
356 SE 9TH AVE, HILLSBORO, OR 97123-4202
(503) 681-4366
(503) 681-4374
Mailing address
356 SE 9TH AVE, HILLSBORO, OR 97123-4202
(503) 681-4366
(503) 681-4374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22538
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228416
—
OR
Enumeration date
11/21/2006
Last updated
08/24/2011
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