Stacy K Lewis Hematology
5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984


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 5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984. The zip code is 97213.


Stacy K Lewis · 5050 Ne Hoyt, 454 Providence Med Group, Portland, OR 97213-2984

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 5032156405
Group Practice PAC ID 0648183608
Number of Group Practice Members 968
Address 5050 NE HOYT
454 PROVIDENCE MED GROUP
PORTLAND, OR 972132984
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

subpremise: 454
street_number: 5050
route: Northeast Hoyt Street (NE Hoyt St)
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: 97213
types : establishment, health, point_of_interest
latitude: 45.5282585
longitude: -122.6132575
latlng: (45.5282585, -122.6132575)


Providence Health and Services - Oregon · Medicare Physician

Name Address Specialty
Maureen Gibbs 5050 Ne Hoyt, Portland, OR 97213-2984 NURSE PRACTITIONER
Brian Wheeler 4805 Ne Glisan St, Portland, OR 97213-2933 HOSPITALIST
Alex Jenkins 1321 Ne 99th Ave, Portland, OR 97220-9439 PSYCHIATRY
Hyrum Durtschi 18610 Nw Cornell Rd, Hillsboro, OR 97124-9206 FAMILY PRACTICE
Denalee Valler 1321 Ne 99th Ave, Portland, OR 97220-9439 PHYSICIAN ASSISTANT
Hsiao Chi Wu 5330 Ne Glisan, Portland, OR 97213-3069 FAMILY PRACTICE
Thutam Thi Le 1321 Ne 99th Ave, Portland, OR 97220-9439 NURSE PRACTITIONER
Todd Wise 18040 Sw Lower Boones, Tigard, OR 97224-7259 INTERNAL MEDICINE
Jennipher Vallery 5050 Ne Hoyt, Portland, OR 97213-2984 PHYSICIAN ASSISTANT
Stephen Sethi 9205 Sw Barnes Rd 1st Flr, Portland, OR 97725-6603 HOSPITALIST
Poombavai Nagappan 12442 Sw Scholls Ferry, Tigard, OR 97223-0803 INTERNAL MEDICINE
Chunfeng Zhang 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST
Lisa Yanase 1321 Ne 99th Ave, Portland, OR 97220-9439 NEUROLOGY
Herbert Krob 9205 Sw Barnes Rd, Portland, OR 97225-6603 NEUROLOGY
Claudia Leonard 417 Sw 117th, Portland, OR 97225-5924 INTERNAL MEDICINE
Ellen Lairson 5050 Ne Hoyt, Portland, OR 97213-2984 NURSE PRACTITIONER
Erin Allen 5050 Ne Hoyt, Portland, OR 97213-2984 DERMATOLOGY
Gita Gelfer 4805 Ne Glisan St, Portland, OR 97213-2933 HOSPITALIST
Ethan Korngold 1321 Ne 99th Ave, Portland, OR 97220-9439 INTERVENTIONAL CARDIOLOGY
Linda Alexander 1627 Woods Ct, Hood River, OR 97031-2915 PHYSICAL THERAPY

Zip 97213 · Medicare Physician

Name Address Specialty
James Martinson 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
Deborah Alexander 5050 Ne Hoyt St, Portland, OR 97213-2984 HOSPITALIST
Richard Jamison 4805 Ne Glisan, Portland, OR 97213-2933 GENERAL SURGERY
Kathryn Reich 5736 Ne Glisan St, Portland, OR 97213-3750 PHYSICAL THERAPY
Rhett Butler 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST
Wendy Laborie 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Cynthia Chan Lazzara 5050 Ne Hoyt, Portland, OR 97213-2984 INTERNAL MEDICINE
Michael Carroll 5050 Ne Hoyt St, Portland, OR 97213-2984 INTERNAL MEDICINE
David Deardorff 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST
Gavin Button 5050 Ne Hoyt St, Portland, OR 97213-2983 ORTHOPEDIC SURGERY
Veronica Slootsky 5251 Ne Glisan St Bl A, Portland, OR 97213-3052 PSYCHIATRY
Amy Dodson 5050 Ne Hoyt, Portland, OR 97213-2984 OCCUPATIONAL THERAPY
Marc Carey 5050 Ne Hoyt St, Portland, OR 97213-2984 FAMILY PRACTICE
Mindy Loebner 5050 Ne Hoyt, Portland, OR 97213-2984 FAMILY PRACTICE
Amy Johnson 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST
Matthew Gadbaw 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST
Amber Watters 4805 Ne Glisan St, Portland, OR 97213-2933 ORAL SURGERY
Alison Mitchell 5050 Ne Hoyt, Portland, OR 97213-2984 FAMILY PRACTICE
Edward Soo 5050 Ne Hoyt St, Portland, OR 97213-2982 MEDICAL ONCOLOGY
David Moon 5050 Ne Hoyt, Portland, OR 97213-2984 HOSPITALIST