Marc Grayson Lewis, RN, BSN, CARN, QMHP

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201805080RN Issued in OR

Practice address

685 SE 3Rd St
Bend, OR 97702-1754

Phone

(541) 668-9070

NPI assigned

Aug 5, 2020

Last updated

May 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bestcare Treatment Services

  • Addiction Medicine (Preventive Medicine) Physician
  • Bend, OR
  • NPI 1629887195
  NPD
• Best Care Treatment Services

  • Community/Behavioral Health Agency
  • Bend, OR
  • NPI 1992211858
  NPD (past)
• Domani Medical LLC

  • Clinic/Center
  • Bend, OR
  • NPI 1023949955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1538779301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 NW RAINBOW RIDGE DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977038722",
            "telephone_number": "808-345-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 SE 3RD ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021754",
            "telephone_number": "541-668-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARC",
        "middle_name": "GRAYSON",
        "name_prefix": "Mr.",
        "credential": "RN, BSN, CARN, QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "22-QMHPC-001160",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201805080RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Winter Lewis, OD
• Gayle O. Lewis, MA
• Jessica Anne Lewis
• Lisa Jo Lewis, M.D.
• Maggie C Lewis, LMT
• Megan Marie Lewis, APRN
• Russell Shepherd Lewis Jr., M.D.
• Sarah Hanigan Lewis
• Suhan Li, MD
• Kristin M Liabraaten, CD(DONA), HCHI

• Registered Nurse in Bend, OR
• Providers in Bend, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.