Organization
WESLEY A. LEWIS, M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY A. LEWIS MD (OWNER/PHYSICIAN)
(503) 222-3638
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST, #607, PORTLAND, OR 97210-3033
(503) 222-3638
(503) 223-5139
Mailing address
2222 NW LOVEJOY ST, #607, PORTLAND, OR 97210-3033
(503) 222-3638
(503) 223-5139
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD13658
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177436
—
OR
Enumeration date
05/17/2006
Last updated
02/09/2012
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