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NPI Code Detail

MEDICARE: DR. PATRICIA ANNE NEWTON M.D.

MEDICARE: DR. PATRICIA ANNE NEWTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) PhysicianMD10774OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992765408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICIA ANNE NEWTON M.D.
Provider Business Mailing Address
First Line : 1200 NW 23RD AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97210-2906
Country : US
Telephone Number : 503-413-7074
Fax Number : 503-413-6769
Provider Business Practice Location Address
First Line : 1200 NW 23RD AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97210-2906
Country : US
Telephone Number : 503-413-7074
Fax Number : 503-413-6769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2006
Last Update Date : 08/27/2007

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