Healthcare Provider Details

I. General information

NPI: 1801802350
Provider Name (Legal Business Name): DEBORAH ANNE LEWINSOHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 SW GAINES ST
PORTLAND OR
97239-2901
US

IV. Provider business mailing address

707 SW GAINES ST
PORTLAND OR
97239-2901
US

V. Phone/Fax

Practice location:
  • Phone: 503-494-3305
  • Fax: 503-494-1542
Mailing address:
  • Phone: 503-494-3305
  • Fax: 503-494-1542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0208X
TaxonomyPediatric Infectious Diseases Physician
License NumberMD21552
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: