Stacy K Lewis
Medical Oncology Hematology & Oncology
9135 Sw Barnes Rd Ste 261
Portland
, Oregon 97225-6784
Stacy K Lewis
Medical Oncology Hematology & Oncology
9135 Sw Barnes Rd Ste 261
Portland
, Oregon 97225-6784
(503) 215-6644
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About
Features
Specialties
- Hematology & Oncology
- Medical Oncology
Languages spoken
- English
Location
First Address
- Stacy K Lewis
- Po Box 3158
- Portland, OR
- Zip : 97208-3158
- Fax : (503) 215-6644
- Phone : (503) 215-6494
Second Address
- Stacy K Lewis
- 9135 Sw Barnes Rd Ste 261
- Portland, OR
- Zip : 97225-6784
- Fax : (503) 216-6324
- Phone : (503) 216-6300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0003X | Hematology & Oncology | MD21052 | OR |
| Y | 207RX0202X | Medical Oncology | MD21052 | OR |
National Provider Identifier
| NPI | 1124021753 |
|---|---|
| Provider Name | Stacy K Lewis |
| First Address | Portland, OR 97208-3158 |
| Second Address | Portland, OR 97225-6784 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2005 |
| Last Update Date | 15/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 151176 | (05) | OR |
| 8244568 | (05) | WA |
| G67873 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.