Healthcare Provider Details

I. General information

NPI: 1881668978
Provider Name (Legal Business Name): BARRY NEWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E 13TH ST APT 501
VANCOUVER WA
98660-3526
US

IV. Provider business mailing address

412 E 13TH ST APT 501
VANCOUVER WA
98660-3526
US

V. Phone/Fax

Practice location:
  • Phone: 503-467-8157
  • Fax:
Mailing address:
  • Phone: 503-467-8157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberMD27491
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberV9511
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberMD.61671833
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: