Individual
ELIZABETH ANN NEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3227 NE 19TH AVE, PORTLAND, OR 97212-2404
(503) 913-7151
Mailing address
3227 NE 19TH AVE, PORTLAND, OR 97212-2404
(503) 913-7151
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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