Lewis, Randall S

Lewis, Randall S is an individual health care provider with primary practice located at 2121 Kimberly Cir , Eugene OR 97405-5821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Lewis, Randall S can be contacted via phone (541) 654-1545.

Contact Information

Primary practice address
2121 Kimberly Cir Eugene OR 97405-5821
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD10258 Oregon

Profile Details

NPI number 1881661528
LBN Legal business name Lewis, Randall S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Nov 25th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881661528 NPPES
Oregon MEDICAID 242065

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