STACY K LEWIS (NPI# 1124021753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124021753 |
Entity Type | Individual |
Full Name | STACY K LEWIS |
Credential | MD |
Practice Address |
9135 Sw Barnes Rd Ste 261 Portland OR 97225-6601 |
Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
Practice Telephone | 5032166300 |
Practice Fax Number | 5032166324 |
Mailing Telephone | 5032156494 |
Mailing Fax Number | 5032156644 |
Enumeration Date | 2005-05-27 |
Last Update Date | 2020-10-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD21052 | OR | Allopathic & Osteopathic Physicians |
Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MD21052 | OR | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 8244568 | 05 | |
OR | RR MEDICARE | P00464784 | 01 |
OR | 151176 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780299933 | Stacy M Lewis | Counselor | 2366 Eastlake Ave E Ste 431, Seattle, WA 98102-3392 | 2020-09-14 |
1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
1386948883 | Stacy Lewis | Health Educator | 7254 Gabriel Dr, Fontana, CA 92336-5761 | 2010-12-28 |
1619046737 | Stacy Cornel Lewis | Counselor | 1119 Wellington Dr, Duncanville, TX 75137-2039 | 2006-11-06 |
1922043793 | Stacy Lewis | Advanced Practice Midwife | 2265 Bridlewood Ranches Dr, San Marcos, TX 78666-1991 | 2006-06-17 |
1487172789 | Stacy Lewis | Speech-Language Pathologist | 710 N Townville St, Seneca, SC 29678-2645 | 2017-09-07 |
1083061311 | Stacy Lewis | Counselor | 20400 Col Glenn Rd, Little Rock, AR 72210-5323 | 2016-05-17 |
1316392269 | Stacy Lewis | Counselor | 3650 S Pointe Cir, Suite 208, Laughlin, NV 89029-0424 | 2016-04-28 |
1023340601 | Stacy Laine Lewis | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2010-02-05 |
1922084581 | Stacy B Lewis Jr. | Obstetrics & Gynecology | 101 Professional Park, Oxford, NC 27565-2580 | 2005-12-15 |
Street Address |
9135 SW BARNES RD STE 261 |
City | PORTLAND |
State | OR |
Zip Code | 97225-6601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770068017 | Jason Joy | Occupational Therapist | 9135 Sw Barnes Rd, Portland, OR 97225-6646 | 2018-10-02 |
1578041661 | Jaime Musgrave | Physical Therapist | 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 | 2018-08-01 |
1295245629 | Kate Alison O'connor Culligan | Occupational Therapist | 9135 Sw Barnes Rd, Portland, OR 97225-6646 | 2017-10-12 |
1952765885 | Brian Frost | Speech-Language Pathologist | 9135 Sw Barnes Rd, Suite 362, Portland, OR 97225-6646 | 2016-04-06 |
1649636648 | Laurel Beth Tor | Nurse Practitioner | 9135 Sw Barnes Rd, Portland, OR 97225-6646 | 2016-01-06 |
1659736940 | Audrey Whitten | Physical Therapist | 9135 Sw Barnes Rd, Suite 361, Portland, OR 97225-6646 | 2015-12-31 |
1265824627 | Kaplan & Sautter LLC | Otolaryngology | 9135 Sw Barnes Rd, Suite 963, Portland, OR 97225-6646 | 2015-02-23 |
1811394380 | James Connelly | Pharmacist | 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 | 2014-11-29 |
1992107544 | Kelli R Harrington-bollenbaugh | Speech-Language Pathologist | 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6646 | 2014-09-25 |
1588066906 | Providence Health & Services - Oregon | Clinic/Center | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2014-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
Find all providers in zip 97225 |
Taxonomy Code | 207RX0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Medical Oncology |
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023351137 | Apurva Pandey | Internal Medicine | 1130 Nw 22nd Ave Ste 150, Portland, OR 97210-2974 | 2013-03-27 |
1013932854 | Robert Charles Lufkin | Internal Medicine | 5050 Ne Hoyt St Ste 256, Portland, OR 97213-2982 | 2006-07-13 |
1558364570 | Bruce Wilson Dana | Internal Medicine | 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 | 2005-05-23 |
1255740965 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2014-08-06 |
1750708202 | Theodore Paul Braun | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-22 |
1437595857 | Providence Health & Services - Oregon | Internal Medicine | 4805 Ne Glisan St, Suite 6n40, Portland, OR 97213-2933 | 2013-05-13 |
1295171767 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2013-05-10 |
1235400177 | Adel Kardosh | Internal Medicine | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 | 2012-01-24 |
1346520327 | Providence Health & Services - Oregon | Internal Medicine | 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 | 2011-08-23 |
1700166782 | Providence Health & Services - Oregon | Internal Medicine | 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 | 2011-08-23 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.