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Deactivated NPI 1265868673 Deactivated / Inactive NPI Male Practitioner

Wayne Keith Lewis

Voluntary or Charitable • Portland, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wayne Lewis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 17, 2013
NPI Deactivation Date September 27, 2024
Total Practice Duration ~11 Years of Practice (2013 – 2024)

Professional Overview & Biography Verified Profile Summary

Wayne Lewis was a registered Voluntary or Charitable practicing in Portland, OR. Throughout an active medical career spanning 11 years, Wayne Lewis provided care at the practice location at 707 NE COUCH ST until profile deactivation on 2024-09-27.

Practice Location & Contact Primary Location

Practice Address

707 Ne Couch St

Portland, OR 972322922

Telephone 5035424610
Associated Practice Facility / Clinic
🏢 Janus Youth Programs, Inc. Facility NPI 1003248642

Specialty Benchmarks & Practice Insights

Comparative analytics for Voluntary or Charitable in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Portland, OR (4 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Voluntary or Charitable Primary Specialty

NUCC Taxonomy Code: 251V00000X

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Troy Jones

Social Worker

NPI 1437585841
Leann Mcclaflin

Social Worker

NPI 1841624434
NPI 1912332644

Master of Science in Education

Tyler Bristow , BA

Social Worker

NPI 1922422138

Bachelor of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active September 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2013

Registered at 707 NE COUCH ST, PORTLAND, OR 972322922 (Tel: 5035424610)

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Updated Business Mailing Address September 17, 2013

Registered at 4005 N KERBY AVE, PORTLAND, OR 972271244

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Provider Name / Credentials Updated September 17, 2013

Recorded as WAYNE LEWIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2013

Voluntary or Charitable

🟢
Initial NPI Registration & Enumeration September 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265868673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2013
Last Update: September 17, 2013
Deactivation Date: September 27, 2024

Mailing Address

4005 N Kerby Ave

Portland, OR 972271244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.