Individual
ERICA R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 257-2500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO183517
OR
208M00000X
Hospitalist Physician
Primary
DO183517
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
11/08/2017
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