Wesley A. Lewis, M.d. LLC

NPI #1881646883 in Portland, Oregon

Provider Information

NPI Number: 1881646883
Entity Type: Organization
Organization Name: Wesley A. Lewis, M.d. LLC
Primary Specialty: Specialist
Enumeration Date: May 17, 2006
Last Updated: Feb 9, 2012

Practice Location

Address: 2222 NW LOVEJOY ST
Address 2: #607
City: Portland
State: Oregon
ZIP Code: 97210-3033
Phone: (503) 222-3638

Authorized Official

Name: DR. WESLEY A. LEWIS, MD
Title: OWNER/PHYSICIAN
Phone: (503) 222-3638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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