NPI 1164465126

Edward James Lewis, ATC

Practitioner Athletic Trainer Hillsboro, OR

Practice location

Address: 1200 NE 48th Ave Suite 700, Hillsboro, OR 97124-4904
Phone: (503) 312-2616
Fax: (503) 693-2330
Mailing address: 5735 SW 170th Ave, Aloha, OR 97007-3318

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT-AT-142301 (OR)

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1164465126
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.