Most Relevant Information
Provider Data
| NPI Number: | 1003571332 |
| Provider Name: | TRACEY ELIZABETH LIN-OI LEW |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 201600507RN |
Most Important Dates
| Enumeration Date: | 11/02/2021 |
| Last Updated: | 11/02/2021 |
Provider Practice Location
12121 E BURNSIDE ST
PORTLAND
OR
972163737
Practice Location Phone/Fax
| Phone: | 9713617700 |
| Fax: |
Provider Mailing Location
232 NW 6TH AVE
PORTLAND
OR
972093609
Provider Mailing Phone/Fax
| Phone: | 5032941681 |
| Fax: |