Individual provider · Type 1 NPI

Corey Lewis, PA

Surgical Physician Assistant · Portland, OR

NPI number 1821355454 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-4373 Map

Mailing address

210 E Economy Rd
Morristown, TN 37814-3756

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA2126 (TN)
Physician Assistant 363A00000XPA.0006653 (CO)
Surgical Physician Assistant Primary 363AS0400XPA218898 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1821355454

Corey Lewis, PA's National Provider Identifier is 1821355454, issued on Apr 20, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jun 17, 2025.