IndividualActive
Juan Lewis, CP
NPI 1740471093 · Prosthetist · Portland, OR
Provider details
- NPI number
- 1740471093
- Entity type
- Individual
- Primary specialty
- ProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CP
- Sex
- Male
- Sole proprietor
- No
- License
- PS00000206 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
21 Ne 7th Ave
Portland, OR 97232-2907
Phone: (503) 231-4876
Fax: (503) 232-0256
Approximate (ZIP-level) locationGet directions
Mailing address
21 Ne 7th Ave
Portland, OR 97232-2907
Registry dates
- Enumerated
- 2007-08-01
- Last updated
- 2023-01-10
- Certified
- 2023-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.