Lewis, Stacy K

Lewis, Stacy K is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Ste 261 , Portland OR 97225-6784. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Lewis, Stacy K can be contacted via phone (503) 216-6300.

Contact Information

Primary practice address
9135 Sw Barnes Rd Ste 261 Portland OR 97225-6784
Phone: (503) 216-6300
Fax: (503) 216-6324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD21052 Oregon
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD21052 Oregon

Profile Details

NPI number 1124021753
LBN Legal business name Lewis, Stacy K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Feb 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124021753 NPPES
Washington MEDICAID 8244568
Washington MEDICAID 151176

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