Healthcare Provider Details

I. General information

NPI: 1518314756
Provider Name (Legal Business Name): AMY MARIE NEWTON MD, MBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2016
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH AVE UNIT 100C
SPOKANE WA
99204-2302
US

IV. Provider business mailing address

17607 E DAYSTAR RD
SPOKANE VALLEY WA
99016-5155
US

V. Phone/Fax

Practice location:
  • Phone: 509-455-4455
  • Fax:
Mailing address:
  • Phone: 909-210-0942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number104841
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD204054
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number61263834
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: