Lewis, Darren Blaine
Lewis, Darren Blaine is an individual health care provider with primary practice located at 4015 Mercantile Dr Suite 200, Lake Oswego OR 97035-2552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lewis, Darren Blaine can be contacted via phone (503) 216-1500.Contact Information
Primary practice address
4015 Mercantile Dr Suite 200
Lake Oswego OR 97035-2552
Phone: (503) 216-1500
Fax: (503) 216-1515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD27845 | Oregon |
Profile Details
| NPI number | 1699847731 |
|---|---|
| LBN Legal business name | Lewis, Darren Blaine |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2006 |
| Last updated | Jan 19th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699847731 | NPPES |
| Oregon | Other | P00784496 | RR MEDICARE |
| Oregon | MEDICAID | 218441 | RR MEDICARE |
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