NPI 1740471093

Juan C Lewis, CP

Practitioner Prosthetist Portland, OR

Practice location

Address: 21 NE 7th Ave, Portland, OR 97232-2907
Phone: (503) 231-4876
Fax: (503) 232-0256

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS00000206 (WA)

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Registry record

NPI: 1740471093
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Aug 2007
Record last updated: 10 Jan 2023

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.