Lewis, Elyn M
Lewis, Elyn M is an individual health care provider with primary practice located at 12270 Sw 1St St Suite 200, Beaverton OR 97005-2848. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lewis, Elyn M can be contacted via phone (503) 646-8222.Contact Information
Primary practice address
12270 Sw 1St St Suite 200
Beaverton OR 97005-2848
Phone: (503) 646-8222
Fax: (503) 626-7420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 080045259N1 | Oregon |
Profile Details
| NPI number | 1619083870 |
|---|---|
| LBN Legal business name | Lewis, Elyn M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619083870 | NPPES |
| Oregon | MEDICAID | 247429 |
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