Provider Demographics
NPI:1992137202
Name:LEWIS, WILLIAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:LEWIS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9055 SW MURRAY BLVD
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97008-7434
Mailing Address - Country:US
Mailing Address - Phone:503-207-2554
Mailing Address - Fax:503-207-2554
Practice Address - Street 1:9055 SW MURRAY BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97008-7434
Practice Address - Country:US
Practice Address - Phone:503-207-2554
Practice Address - Fax:503-207-2548
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR00136651835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist