SHANNON I LEWIS

PORTLAND, OR
NPI1225083827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA01131)
Enumeration Date2006-05-23
Last Update Date2023-06-20
Business Address
Mr. SHANNON I LEWIS PA C
4400 NE HALSEY ST STE 102
PORTLAND, OR 97213-1545
Phone number: 503-962-1000
Mailing Address
Mr. SHANNON I LEWIS PA C
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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