Organization
TODD J. LEWIS, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD JAY LEWIS M.D. (PRESIDENT)
(541) 757-7463
Entity
Organization
Contact information
Practice address
2211 NW PROFESSIONAL DR, STE 100, CORVALLIS, OR 97330-3891
(541) 757-7463
(541) 757-7465
Mailing address
2211 NW PROFESSIONAL DR, STE 100, CORVALLIS, OR 97330-3891
(541) 757-7463
(541) 757-7465
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13887
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295779734
NPI
OR
Enumeration date
06/27/2007
Last updated
08/22/2020
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