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

Mark Lewis

Individual provider Physical Therapist · NPI 1720466196

Mark Lewis is a Physical Therapist in Private Practice in Lebanon, Oregon. Qualified in 2015, 11 years ago. Practices with Columbia Physical Therapy Inc Ps, a 45-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
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Practice location Address checks out

1300 E Grant St Ste 100
Lebanon, OR 97355-9539
Phone: (541) 258-8222
Fax: (541) 258-8221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 61004 (OR)

Record details

NPI number1720466196
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 18, 2015
Mailing address7201 W Clearwater Ave Ste B101, Kennewick, WA 99336-1694

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Columbia Physical Therapy Inc Ps — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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