| Marc E. Lewis Md Llc | |
|
356 Se 9th Ave Hillsboro OR 97123-4202 | |
| (503) 681-4366 | |
| (503) 681-4374 |
| Full Name | Marc E. Lewis Md Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 356 Se 9th Ave, Hillsboro, Oregon |
| Authorized Official Name and Position | Marc E Lewis (PRESIDENT OWNER) |
| Authorized Official Contact | 5036814366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc E. Lewis Md Llc 356 Se 9th Ave Hillsboro OR 97123-4202 Ph: (503) 681-4366 | Marc E. Lewis Md Llc 356 Se 9th Ave Hillsboro OR 97123-4202 Ph: (503) 681-4366 |
| NPI Number | 1750507224 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 10/16/2008 |
| Medicare PECOS PAC ID | 7618961657 |
|---|---|
| Medicare Enrollment ID | O20040412001715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750507224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD22538 (Oregon) | Primary |
| Provider Name | Marc E Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417022112 PECOS PAC ID: 3971597915 Enrollment ID: I20050804000330 |
| Provider Name | Meenakshi Aggarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700064839 PECOS PAC ID: 9638215585 Enrollment ID: I20091006000561 |
| Provider Name | Anne Marie Dunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255745204 PECOS PAC ID: 2163647140 Enrollment ID: I20140707002115 |
| Provider Name | Melinda A Sanfilippo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215053277 PECOS PAC ID: 4688990922 Enrollment ID: I20150305000068 |
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