Individual
ALISA Y NEWHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5329 NE MARTIN LUTHER KING BLVD, PORTLAND, OR 97211-3237
(503) 988-5183
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3991
(503) 988-7468
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201704955RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10012856
OR
Other
Enumeration date
03/20/2020
Last updated
03/22/2024
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