Individual
ELISE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, 5TH FLOOR SOUTH, PORTLAND, OR 97225-6603
(503) 216-2906
(503) 216-7106
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD26199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027981
—
OR
01
—
P00396926
RR MEDICARE
OR
Enumeration date
05/24/2006
Last updated
09/30/2020
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