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Individual

JUSTIN STITES LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 SE MAIN ST STE 112, PORTLAND, OR 97216-2441
(503) 255-3054
(503) 255-7651
Mailing address
10000 SE MAIN ST STE 112, PORTLAND, OR 97216-2441
(503) 255-3054

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD191801
OR
207RG0100X
Gastroenterology Physician
Primary
MD191801
OR

Other

Enumeration date
03/29/2017
Last updated
07/08/2024
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