IndividualActive
Corey Lewis, PA
NPI 1821355454 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1821355454
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA2126 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-4373
Approximate (ZIP-level) locationGet directions
Mailing address
210 E Economy Rd
Morristown, TN 37814-3756
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2025-06-17
- Certified
- 2025-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.