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NPI Code Detail

MEDICARE: DECKEONE NEWTON

MEDICARE: DECKEONE NEWTON
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
1156F00000XTechnician/Technologist

General Provider Information

NPI Number : 1689517682
Entity Type Code : Individual
Provider Name (Legal Business Name) : DECKEONE NEWTON
Provider Business Mailing Address
First Line : 10620 W 12TH AVE APT 266
Second Line :
City : SPOKANE
State : WA
Zip : 99224-7214
Country : US
Telephone Number : 509-666-2503
Fax Number :
Provider Business Practice Location Address
First Line : 1302 W GARDNER AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2059
Country : US
Telephone Number : 509-503-6010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ DECKEONE NEWTON ” Practice Location

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