Individual
BETHANY NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
29100 SW TOWN CENTER LOOP W STE 190, WILSONVILLE, OR 97070-9317
(503) 570-7600
(503) 570-7602
Mailing address
16083 SW UPPER BOONES FERRY RD STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62413
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5007380838
—
OR
Enumeration date
07/28/2017
Last updated
09/08/2017
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