Stacy K Lewis
Internal Medicine (Medical Oncology)

Address: 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6601
Phone: 5032166300

Stacy K Lewis (NPI# 1124021753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124021753
Entity Type Individual
Full Name Stacy K Lewis
Credential MD
Gender Female
Practice Address 9135 Sw Barnes Rd
Ste 261
Portland
OR 97225-6601
Practice Telephone 5032166300
Practice Fax Number 5032166324
Mailing Address Po Box 3158
Portland
OR 97208-3158
Mailing Telephone 5032156494
Mailing Fax Number 5032156644
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-05-27
Last Update Date 2010-11-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207RH0003X Internal Medicine · Hematology & Oncology Allopathic & Osteopathic Physicians MD21052 OR
Yes 207RX0202X Internal Medicine · Medical Oncology Allopathic & Osteopathic Physicians MD21052 OR

Other Provider Identifier

State Identifier Issuer Type Code
OR 151176 MEDICAID
OR P00464784 OTHER RR MEDICARE
WA 8244568 MEDICAID

Other Providers STACY LEWIS

NPI Name Taxonomy Address Enumeration
1912423427 Stacy Lewis Counselor 1943 Ave E Sw, Winter Haven, FL 33880 2017-08-16
1386948883 Stacy Lewis Health Educator 7254 Gabriel Dr, Fontana, CA 92336-5761 2010-12-28
1619046737 Stacy Cornel Lewis Counselor 1119 Wellington Dr, Duncanville, TX 75137-2039 2006-11-06
1922043793 Stacy Lewis Midwife 2265 Bridlewood Ranches Dr, San Marcos, TX 78666-1991 2006-06-17
1487172789 Stacy Lewis Speech-Language Pathologist 710 N Townville St, Seneca, SC 29678-2645 2017-09-07
1083061311 Stacy Lewis Counselor 20400 Col Glenn Rd, Little Rock, AR 72210-5323 2016-05-17
1316392269 Stacy Lewis Counselor 3650 S Pointe Cir, Suite 208, Laughlin, NV 89029-0424 2016-04-28
1023340601 Stacy Laine Lewis Massage Therapist 15324 Main St E Ste B, Sumner, WA 98390-2698 2010-02-05
1922084581 Stacy B Lewis Jr. Obstetrics & Gynecology 101 Professional Park, Oxford, NC 27565-2580 2005-12-15

Physician Overview

NPI 1124021753
PAC ID by PECOS 6901848597
Professional Enrollment ID I20080214000107
Full Name Stacy K Lewis
Organization Legal Name PROVIDENCE HEALTH AND SERVICES - OREGON
Phone Number 5032167082
Gender F
Credential MD
Medical School WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1988
Primary Specialty HEMATOLOGY
Secondary Specialties MEDICAL ONCOLOGY
Group Practice PAC ID 0648183608
Number of Group Practice Members 1037
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380061 PROVIDENCE PORTLAND MEDICAL CENTER
380004 PROVIDENCE ST VINCENT MEDICAL CENTER

Office Location

Street Address 9135 SW BARNES RD
STE 261
City PORTLAND
State OR
Zip Code 97225-6601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770068017 Jason Joy Occupational Therapist 9135 Sw Barnes Rd, Portland, OR 97225-6646 2018-10-02
1578041661 Jaime Musgrave Physical Therapist 9135 Sw Barnes Rd, Ste 361, Portland, OR 97225-9720 2018-08-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd, Portland, OR 97225 2018-03-07
1295245629 Kate Alison O'connor Culligan Occupational Therapist 9135 Sw Barnes Rd, Portland, OR 97225-6646 2017-10-12
1952765885 Brian Frost Speech-Language Pathologist 9135 Sw Barnes Rd, Suite 362, Portland, OR 97225-6646 2016-04-06
1649636648 Laurel Beth Tor Nurse Practitioner 9135 Sw Barnes Rd, Portland, OR 97225-6646 2016-01-06
1659736940 Audrey Whitten Physical Therapist 9135 Sw Barnes Rd, Suite 361, Portland, OR 97225-6646 2015-12-31
1265824627 Kaplan & Sautter LLC Otolaryngology 9135 Sw Barnes Rd, Suite 963, Portland, OR 97225-6646 2015-02-23
1811394380 James Connelly Pharmacist 9135 Sw Barnes Rd, Suite 263, Portland, OR 97225-6646 2014-11-29
1992107544 Kelli R Harrington-bollenbaugh Speech-Language Pathologist 9135 Sw Barnes Rd, Ste 261, Portland, OR 97225-6646 2014-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
1184016099 Wendy W Yu Internal Medicine 9205 Sw Barnes Rd, Suite Mt2800, Portland, OR 97225 2015-03-02
1184021917 Justin Rooney Massage Therapist 4475 Sw Scholls Ferry Rd., West Hills Office Plaza, #210, Portland, OR 97225 2014-11-21
1730583352 Heather Pendell Naturopath 10397 Sw Eastridge St # 40, Portland, OR 97225 2014-10-09
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013932854 Robert Charles Lufkin Internal Medicine 5050 Ne Hoyt St Ste 256, Portland, OR 97213-2982 2006-07-13
1851323679 Kathleen Kemmer Internal Medicine 3303 Sw Bond Ave Ste 7, Portland, OR 97239-4501 2006-07-06
1265475198 Maria Gia Gregorio Internal Medicine 10859 Nw Supreme Ct, Portland, OR 97229-8816 2006-06-14
1558364570 Bruce Wilson Dana Internal Medicine 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 2005-05-23
1255740965 Providence Health & Services - Oregon Internal Medicine 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 2014-08-06
1437595857 Providence Health & Services - Oregon Internal Medicine 4805 Ne Glisan St, Suite 6n40, Portland, OR 97213-2933 2013-05-13
1295171767 Providence Health & Services - Oregon Internal Medicine 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 2013-05-10
1346520327 Providence Health & Services - Oregon Internal Medicine 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 2011-08-23
1700166782 Providence Health & Services - Oregon Internal Medicine 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 2011-08-23
1801193339 Providence Health & Services - Oregon Internal Medicine 4805 Ne Glisan St, Ste 6n50, Portland, OR 97213-2933 2011-02-18
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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