Stacy K Lewis Hematology
1321 Ne 99th Ave, Portland, OR 97220-9439


Stacy K Lewis is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1124021753. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6901848597. The medical credential is MD. The primary specialty is HEMATOLOGY. The organization is PROVIDENCE HEALTH AND SERVICES - OREGON. The address is 1321 Ne 99th Ave, Portland, OR 97220-9439. The zip code is 97220.


Stacy K Lewis · 1321 Ne 99th Ave, Portland, OR 97220-9439

Nation Provider ID 1124021753
PAC ID by PECOS 6901848597
Professional Enrollment ID I20080214000107
Last Name LEWIS
First Name STACY
Middle Name K
Gender F
Credential MD
Medical School Name WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1988
Primary Specialty HEMATOLOGY
Secondary Specialties MEDICAL ONCOLOGY
Primary Specialty PROVIDENCE HEALTH AND SERVICES - OREGON
Phone Number 5032154250
Group Practice PAC ID 0648183608
Number of Group Practice Members 968
Address 1321 NE 99TH AVE
PORTLAND, OR 972209439
Claims Based Hospital Affiliation Claim Control Number (CCN): 380061
Legal Business Name: PROVIDENCE PORTLAND MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 380004
Legal Business Name: PROVIDENCE ST VINCENT MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 380037
Legal Business Name: PROVIDENCE NEWBERG MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

street_number: 1321
route: Northeast 99th Avenue (NE 99th Ave)
neighborhood, political: Northeast Portland
locality, political: Portland
admin_level_2, political: Multnomah County
admin_level_1, political: Oregon (OR)
country, political: United States (US)
postal_code: 97220
types : premise
latitude: 45.5324232
longitude: -122.5627891
latlng: (45.5324232, -122.5627891)


Providence Health and Services - Oregon · Medicare Physician

Name Address Specialty
Anne-marie Mccoy 5050 Ne Hoyt St, Portland, OR 97213-2984 FAMILY PRACTICE
Kevin Carpenter 5050 Ne Hoyt, Portland, OR 97213-2984 FAMILY PRACTICE
Mario Seyer 1500 Division St, Oregon City, OR 97045-1527 FAMILY PRACTICE
Clarice Calopiz 5555 Ne Elam Young Pkwy, Hillsboro, OR 97124-6452 FAMILY PRACTICE
Kevin Sellars 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Eric Foote 5050 Ne Hoyt, Portland, OR 97213-2984 PHYSICIAN ASSISTANT
Jonathan Vinson 5050 Ne Hoyt St, Portland, OR 97213-2984 FAMILY PRACTICE
Richard Tsai 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Allison Huang 510 Bridge St, Vernonia, OR 97064-1218 INTERNAL MEDICINE
Penny Gneiting 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Jason Wollmuth 1321 Ne 99th Ave, Portland, OR 97220-9439 INTERVENTIONAL CARDIOLOGY
Karen Ballard 417 Sw 117th, Portland, OR 97225-5924 NURSE PRACTITIONER
Sarah Rahkola 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Angela Keating 1321 Ne 99th Ave, Portland, OR 97220-9439 OBSTETRICS/GYNECOLOGY
John Godwin 5050 Ne Hoyt St, Portland, OR 97213-2984 MEDICAL ONCOLOGY
Mandy Blumer 5050 Ne Hoyt St, Portland, OR 97213-2984 PHYSICIAN ASSISTANT
Nicholas Ponzetti 1627 Woods Ct, Hood River, OR 97031-2915 PHYSICAL THERAPY
Sheryl Williams 5050 Ne Hoyt St, Portland, OR 97213-2984 PHYSICIAN ASSISTANT
Tracy Klein 5050 Ne Hoyt St, Portland, OR 97213-2984 NURSE PRACTITIONER
Sonel Patel 417 Sw 117th, Portland, OR 97225-5924 FAMILY PRACTICE

Zip 97220 · Medicare Physician

Name Address Specialty
Hayley Kum 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Matthew Snodgrass 1321 Ne 99th Ave, Portland, OR 97220-9439 FAMILY PRACTICE
Jay Bocchi 233 Ne 102nd Ave, Portland, OR 97220-4106 DIAGNOSTIC RADIOLOGY
Cyndi Myers 12143 Ne Halsey St A, Portland, OR 97220-2042 CHIROPRACTIC
Michele Cathey Hamley 135 Ne 102nd Ave, Portland, OR 97220-4167 NURSE PRACTITIONER
Marika Wolfe 5050 Ne Hoyt St, Portland, OR 97220-9437 FAMILY PRACTICE
Jeremy Holden 1111 Ne 99th Ave, Portland, OR 97220-9442 GASTROENTEROLOGY
Daniel Norfleet 1321 Ne 99th Ave, Portland, OR 97220-9439 INTERNAL MEDICINE
Molly Cushing 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Mark Shatsky 1321 Ne, Portland, OR 97220-9437 FAMILY PRACTICE
David Belli 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Ijeoma Nwerem 135 Ne 102nd Ave, Portland, OR 97220-4167 NURSE PRACTITIONER
David Counts 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Robert Balen 10502 Northeast Wasco, Portland, OR 97220-3948 OPHTHALMOLOGY
David Gannett 9205 Sw Barnes Rd, Portland, OR 97220 RADIATION ONCOLOGY
Tonya Sartor 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Steven Day 1321 Ne 99th Ave, Portland, OR 97220-9439 NEUROLOGY
Claire Hull 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Rima Chamie 1321 Ne 99th Ave, Portland, OR 97220-9439 FAMILY PRACTICE
Daniel Sellers 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT