Individual
ELYN M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12270 SW 1ST ST, SUITE 200, BEAVERTON, OR 97005-2848
(503) 646-8222
(503) 626-7420
Mailing address
720 SW BROOKWOOD AVE, HILLSBORO, OR 97123-7525
(503) 640-4253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
080045259N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247429
—
OR
Enumeration date
08/21/2006
Last updated
07/09/2007
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