Lewis, Sandra Jean

Lewis, Sandra Jean is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Suite 606, Portland OR 97210-3033. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Lewis, Sandra Jean can be contacted via phone (503) 229-7554.

Contact Information

Primary practice address
2222 Nw Lovejoy St Suite 606 Portland OR 97210-3033
Fax: (503) 274-5400
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD14284 Oregon

Profile Details

NPI number 1427040179
LBN Legal business name Lewis, Sandra Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 21st, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427040179 NPPES
Oregon MEDICAID 128835
Oregon MEDICAID 1010066

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