Dr Lewis L Low, MD | |
1015 Nw 22nd Ave, R200, Portland, OR 97210-3025 | |
(503) 413-8407 | |
Not Available |
Full Name | Dr Lewis L Low |
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Gender | Male |
Speciality | Internal Medicine - Critical Care Medicine |
Location | 1015 Nw 22nd Ave, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083689269 | NPI | - | NPPES |
226872 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | MD24373 (Oregon) | Primary |
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Mailing Address | Practice Location Address |
---|---|
Dr Lewis L Low, MD 9222 Nw Murdock St, Portland, OR 97229-8087 Ph: (503) 292-2552 | Dr Lewis L Low, MD 1015 Nw 22nd Ave, R200, Portland, OR 97210-3025 Ph: (503) 413-8407 |
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