Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey Lewis, PA

Individual provider Physician Assistant · NPI 1821355454

Corey Lewis, PA is a Physician Assistant in Portland, Oregon. Qualified in 2011, 15 years ago. Practices with University Professional Services, a 1,704-clinician group and accepts Medicare assignment. Licensed in Colorado, Oregon and Tennessee.

Years since qualifying
15
Licensed in
CO, OR, TN
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-4373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA218898 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA2126 (TN)
Physician Assistant Taxonomy 363A00000X · Licence PA.0006653 (CO)

Record details

NPI number1821355454
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 20, 2012
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address210 E Economy Rd, Morristown, TN 37814-3756

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice University Professional Services — 1704 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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