MS. ANGELA VICTORIA LEWIS (NPI# 1023079332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023079332 |
| Entity Type | Individual |
| Full Name | MS. ANGELA VICTORIA LEWIS |
| Other Name | ANGELA VICTORIA BURCH |
| Credential | PA |
| Practice Address |
10000 Se Main St Ste 60 Portland OR 97216 |
| Mailing Address |
10000 Se Main St Ste 60 Portland OR 97216-2474 |
| Practice Telephone | (503) 257-0959 |
| Practice Fax Number | 5032573457 |
| Mailing Telephone | 5032570959 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA167469 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
C0003171 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5401 Old Court Rd, Randallstown, MD 211335103 | 4105215973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027900 | Angela Marie Lewis | Physical Therapy Assistant | 5156 N Bend Xing, Cincinnati, OH 45247-3106 | 2019-08-05 |
| 1609387141 | Angela Maria Lewis | Dental Assistant | Bldg 11572 17th & C St, Jblm, WA 98433 | 2017-10-23 |
| 1821459744 | Angela Faye Lewis | Counselor | 19135 Addison Dr, Southfield, MI 48075 | 2016-03-19 |
| 1174931919 | Angela Marie Lewis | Physical Therapist | 2601 Rosewood Cir, Jonesboro, AR 72401-5975 | 2014-07-24 |
| 1528327814 | Angela Jeanette Lewis | Behavioral Analyst | 2921 Lindsay Ln, Spencer, OK 73084-3547 | 2012-05-08 |
| 1558697979 | Angela L Lewis | Nurse's Aide | 508 Harrison St, Piqua, OH 45356-2428 | 2009-10-19 |
| 1730318841 | Angela R Lewis | Licensed Practical Nurse | 1696 W Main Cir Apt 18, De Pere, WI 54115-6841 | 2009-07-09 |
| 1104091925 | Angela Marie Lewis | Counselor | 2518 Lawrence Cooley Rd, Milton, FL 32570-9772 | 2008-04-23 |
| 1982802898 | Angela Lewis | Speech-Language Pathologist | 4045 Amber Leigh Way Dr, Charlotte, NC 28269-2374 | 2007-07-03 |
| 1710073580 | Angela Dawn Lewis | Family Medicine | 1021 Kenwood Dr, Russell, KY 41169 | 2006-10-05 |
| Street Address |
10000 SE MAIN ST STE 60 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780940064 | Rachel Elizabeth Riedel | Registered Nurse | 10000 Se Main St Ste 60, Portland, OR 97216-2474 | 2012-04-11 |
| 1164788808 | Erin Rose Boehm | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216 | 2012-04-06 |
| 1356636351 | Gail K. Jones | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216-2474 | 2011-06-17 |
| 1275763708 | Fareed Moses Segundo Collado | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216-2474 | 2009-07-17 |
| 1922274828 | Brian Scott Moyers | Internal Medicine | 10000 Se Main St Ste 60, Portland, OR 97216-2474 | 2008-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073081428 | Ishah Marie Price | Physician Assistant | 30 Preble St Apt 663, Portland, ME 04101-4939 | 2018-11-04 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1871982975 | Colin Storz | Physician Assistant | 3623 N Borthwick Ave, Portland, OR 97227-1218 | 2015-01-13 |
| 1275888729 | Stephanie Calvin | Physician Assistant | 782 College St, Portland, TN 37148-2120 | 2012-07-20 |
| 1174800031 | Carolyn Frances Farrell | Physician Assistant | 450 N Graham St, Portland, OR 97227-1682 | 2011-11-07 |
| 1316130198 | Ronald W Kessler | Physician Assistant | 632 Brighton Ave, Portland, ME 04102-1017 | 2007-08-24 |
| 1124210778 | Honey E.l. Marques | Physician Assistant | 16279 Se Division St, Portland, OR 97236-1971 | 2007-08-16 |
| 1124177902 | Dmitriy Shore | Physician Assistant | 10305 Sw Park Way Ste 300, Portland, OR 97225-5033 | 2007-01-09 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MS. ANGELA VICTORIA LEWIS.
| 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.