Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | MD19849 | OR |
NPI | 1093721557 |
---|---|
Provider Name | Paul Francis Lewis |
First Address | Portland, OR 97239-2901 |
Second Address | Portland, OR 97239-2901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
080460 | (05) | OR |