Individual
JEFF NEIL NEWBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ID
Contact information
Practice address
1957 ALVIN RICKEN DR, C/O JEFF NEWBERRY, POCATELLO, ID 83201-2727
(208) 235-7800
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
RPT-1826
ID
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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