COREY LEWIS

PORTLAND, OR
NPI1821355454
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA218898)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TN  PA2126)
363A00000X Physician Assistant
(Licence: CO  PA.0006653)
Enumeration Date2012-04-20
Last Update Date2025-06-17
Business Address
COREY LEWIS PA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-4373
Mailing Address
COREY LEWIS PA
210 E ECONOMY RD
MORRISTOWN, TN 37814-3756
Phone number: 423-307-1468