TRACY LEWIS LEWIS (NPI# 1790219541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790219541 |
| Entity Type | Individual |
| Full Name | TRACY LEWIS LEWIS |
| Credential | LPC |
| Practice Address |
5511 Se Hawthorne Blvd Portland OR 97215-3367 |
| Practice Telephone | 5035171895 |
| Mailing Telephone | 5035171895 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C4407 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1366983439 | Tracy Lewis | Dentist | 1211 Daisy Ct, Holly Ridge, NC 28445-7989 | 2017-03-09 |
| 1093169435 | Tracy Lee Lewis | Speech-Language Pathologist | 905 Milton Blvd., Newton Falls Schools, Newton Falls, OH 44444 | 2016-04-22 |
| 1245493287 | Tracy Ann Lewis | Licensed Practical Nurse | 1250 Old Oak Rd, Amherst, OH 44001-1225 | 2008-07-09 |
| 1588683833 | Tracy L. Lewis | Dentist | 89 Court St, Binghamton, NY 13901-3300 | 2006-07-18 |
| 1811547391 | Tracy Lewis | Counselor | 1822 Keeaumoku St, Honolulu, HI 96822-3001 | 2019-09-16 |
| 1194233114 | Tracy Lewis | Social Worker | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-01-11 |
| 1962890830 | Tracy Lynn Lewis | Registered Nurse | 907 West St, Laurel, DE 19956-1931 | 2014-12-31 |
| 1700296035 | Tracy Lewis | Counselor | 30 Elizabeth St, Derby, CT 06418-1869 | 2014-05-08 |
| 1295166023 | Tracy Lynn Lewis | Nurse Anesthetist, Certified Registered | 6606 Lbj Fwy Ste 200, Dallas, TX 75240-6524 | 2013-12-04 |
| Street Address |
5511 SE HAWTHORNE BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023199163 | Risa Hobson | Counselor | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2006-10-17 |
| 1598385239 | Jena Abaria | Counselor | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2020-04-23 |
| 1013555853 | Jeffrey F Eldredge | Counselor | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2019-12-11 |
| 1871130757 | Robert Keegan Dyehouse | Student in an Organized Health Care Education/Training Program | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2019-12-10 |
| 1376101238 | Michal Marie Pancheau | Counselor | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2019-06-04 |
| 1346664158 | Jennie Ju | Counselor | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2014-02-13 |
| 1598196404 | Elizabeth Wosley-george | Counselor | 5511 Se Hawthorne Blvd, A New Day Counseling Center, Portland, OR 97215-3367 | 2013-12-02 |
| 1922369040 | Western Seminary | Community/Behavioral Health | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2012-06-05 |
| 1932469681 | Kay C Bruce | Counselor | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2012-05-28 |
| 1265641872 | Jerome R. Wernow | Pharmacist | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
| 1629675582 | Michelle Robydek | Counselor | 103 Rindle Bluff Dr, Portland, MI 48875-9435 | 2020-10-05 |
| 1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
| 1922624782 | Marc Francis Otto | Counselor | 215 Ne 60th Ave, Portland, OR 97213-3721 | 2020-06-17 |
| 1013532183 | Monica Grace Vanek | Counselor | 4248 Ne Skidmore St, Portland, OR 97218-1753 | 2020-06-14 |
| 1427670355 | Leonore Elisabeth Licht-miller | Counselor | 1455 Sw Stephenson St, Portland, OR 97219-8222 | 2020-05-14 |
| 1821624834 | Kara Pierce | Counselor | 5640 Ne 7th Ave, Portland, OR 97211-3249 | 2020-03-21 |
| 1932746302 | Lynne Coon Counseling, LLC | Counselor | 1340 Sw Bertha Blvd Ste 202, Portland, OR 97219-2096 | 2019-12-04 |
| 1912554809 | Genevieve Pritchard | Counselor | 4150 N Williams Ave Apt 409, Portland, OR 97217-2970 | 2019-08-24 |
| 1407312465 | Jor-el Zajatz | Counselor | 12 Se 14th Ave Ste 105, Portland, OR 97214-1404 | 2019-02-14 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on TRACY LEWIS LEWIS.
| 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.